A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Which of the following statements indicates that the client understands the teaching?
"I will eat every 6 hours throughout the day.”.
"I will drink water with my meals.”.
"I will limit my protein intake.”.
"I will eat crackers before I get out of bed in the morning.”.
The Correct Answer is D
Choice A rationale:
The statement, "I will eat every 6 hours throughout the day," is not the best approach for a client with hyperemesis gravidarum. Eating at regular intervals may not be well-tolerated in this condition, as frequent nausea and vomiting can make it challenging to keep food down.
Choice B rationale:
The statement, "I will drink water with my meals," is generally a good practice during pregnancy to stay hydrated. However, for a client with hyperemesis gravidarum, it may be advisable to separate fluid intake from meals to minimize the risk of triggering nausea.
Choice C rationale:
The statement, "I will limit my protein intake," is not a recommended approach, especially for a pregnant client. Protein is essential for fetal development, and limiting protein intake may not provide adequate nutrition for the growing fetus.
Choice D rationale:
The statement, "I will eat crackers before I get out of bed in the morning," is a good strategy for managing morning sickness, which is common in pregnancy. Eating plain crackers before getting out of bed can help alleviate nausea and stabilize blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice b. Drying the newborn’s skin thoroughly.
Choice A rationale:
Maintaining ambient room temperature at 24° C (75° F) helps in reducing overall heat loss but does not specifically address evaporative heat loss. Evaporative heat loss occurs when moisture on the skin evaporates, cooling the skin.
Choice B rationale:
Drying the newborn’s skin thoroughly reduces evaporative heat loss by removing moisture that can evaporate and cool the skin. This is a critical action immediately after birth when the newborn is wet with amniotic fluid.
Choice C rationale:
Preventing air drafts helps reduce convective heat loss, not evaporative heat loss. Convective heat loss occurs when air currents carry heat away from the body.
Choice D rationale:
Placing the newborn on a warm surface helps reduce conductive heat loss, which occurs when the newborn’s body comes into contact with a cooler surface. This does not specifically address evaporative heat loss.
By thoroughly drying the newborn’s skin, the nurse effectively minimizes evaporative heat loss, ensuring the newborn maintains a stable body temperature.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Blotting the perineal area dry after voiding is an important part of perineal care. Moisture can contribute to perineal infection, so it is essential to keep the area dry. This practice helps prevent the growth of bacteria and reduces the risk of infection.
Choice D rationale:
Cleaning the perineal area from front to back is crucial in reducing the risk of perineal infection. This method helps prevent the transfer of bacteria from the anal area to the perineum and vaginal area, reducing the risk of infection.
Choice E rationale:
Performing hand hygiene before and after voiding is an important aspect of perineal care and infection prevention. Proper hand hygiene helps prevent the transfer of bacteria from the hands to the perineal area and vice versa, reducing the risk of infection.
Choice B rationale:
Applying ice packs to the perineal area several times daily is not a recommended practice for reducing the risk of perineal infection. While ice packs can provide pain relief and reduce swelling, they should not be applied excessively, as prolonged exposure to cold can compromise blood flow and potentially increase the risk of tissue damage or infection.
Choice C rationale:
Sitting on an inflatable donut to protect the perineum is not a recommended practice for reducing the risk of perineal infection. Inflatable donuts can increase pressure on the perineal area, potentially causing discomfort and impairing blood flow. Proper hygiene and keeping the area clean and dry are more effective strategies for infection prevention. .
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