A nurse is reinforcing teaching about common discomforts during the first trimester with a client who is at 10 weeks of gestation. Which of the following examples should the nurse include?

Swelling of the face

Diarrhea

Leukorrhea

Burning during urination

Answer and Explanation

The Correct Answer is C

Leukorrhea refers to the increased vaginal discharge that is common during pregnancy. It is usually thin, white, or milky in appearance and is caused by hormonal changes and increased blood flow to the vaginal area. Informing the client about this normal pregnancy symptom can help alleviate concerns and promote reassurance.

Facial swelling, especially during the first trimester, is not a common discomfort experienced in early pregnancy. It can be a symptom of other underlying medical conditions, such as preeclampsia, which should be evaluated by a healthcare provider.

While gastrointestinal changes and bowel irregularities can occur during pregnancy, including constipation, diarrhea is not typically associated with the first trimester. Persistent or severe diarrhea should be assessed by a healthcare provider as it can indicate an underlying issue or infection.

Burning or discomfort during urination is not a typical discomfort of the first trimester. It is more commonly associated with urinary tract infections (UTIs) or other urinary issues. If a client experiences these symptoms, they should be evaluated by a healthcare provider for appropriate diagnosis and treatment.

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Correct Answer is C

Explanation

Albuterol is a bronchodilator medication that is commonly delivered through a metered-dose inhaler (MDI) to treat asthma and other respiratory conditions. Proper inhaler technique is crucial for eﬀective delivery of the medication to the lungs.

Option (a) is incorrect because the client should actually tilt their head back slightly and breathe out fully before inhaling the medication.

Option (b) is incorrect because the client should take a slow, deep breath in while depressing the canister once.

Option (d) is incorrect because the client should hold their breath for 10 seconds after inhaling the medication to allow it to reach the lungs.

Therefore, the correct instruction for the nurse to include in the teaching is to instruct the client to close their mouth around the mouthpiece of the inhaler to ensure that the medication is delivered directly to the lungs.

A. Restrict the client's sodium intake to 3 g per day. B. Position the client supine with legs elevated. C. Measure the client's abdominal girth daily. D. Keep the client's daily protein intake below 0.8 g/kg.

Correct Answer is C

Explanation

A.Sodium restriction is a key component in the management of ascites, as it helps to reduce fluid retention. However, the standard recommendation for sodium intake in ascites management is typically lower than 3 grams per day. The guideline is often around 2 grams or even less to effectively manage ascites. Thus, while the concept is correct, the specific amount in this option is slightly higher than usually recommended.

B.This is not generally recommended for clients with ascites. Lying flat can increase discomfort and pressure on the diaphragm, making breathing more difficult. Instead, positioning the client in a semi-Fowler's or Fowler's position can help alleviate respiratory distress by reducing pressure on the diaphragm.

C. This is a crucial intervention. Measuring abdominal girth daily provides a reliable way to monitor changes in the size of the abdomen, which reflects changes in the amount of ascitic fluid. It helps in assessing the effectiveness of treatment and detecting any rapid accumulation of fluid that might require intervention.

D.While protein restriction was traditionally recommended to prevent hepatic encephalopathy, more recent guidelines suggest that moderate protein intake should be maintained unless the client has severe hepatic encephalopathy. Adequate protein intake is necessary to prevent muscle wasting and support liver function, and it should generally be individualized based on the client’s condition.

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A nurse is reinforcing teaching about common discomforts during the first trimester with a client who is at 10 weeks of gestation. Which of the following examples should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is about to start using an albuterol metered-dose inhaler. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend to include in the plan?

Correct Answer is C

Explanation

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