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A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?

"Lie down for 30 min after meals."

"Eat a high-fat snack at bedtime."

"Sip carbonated beverages throughout the day."

"Drink hot herbal tea to relieve symptoms."

Answer and Explanation

The Correct Answer is C

A. Lying down after meals increases reflux by allowing stomach contents to flow back into the esophagus.

B. High-fat foods delay gastric emptying, worsening heartburn.

C. Carbonated beverages may help neutralize stomach acid and provide symptom relief when sipped in moderation.

D. Hot herbal tea can relax the lower esophageal sphincter, exacerbating reflux.

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Correct Answer is B

Explanation

A. Insulin vials should not be shaken because this can create air bubbles, leading to inaccurate dosing. Instead, NPH insulin should be gently rolled between the palms to evenly mix the suspension. Regular insulin does not require mixing.

B. Once regular and NPH insulin are mixed, they should be administered promptly to maintain their stability and effectiveness. Delaying administration may alter insulin absorption, leading to unpredictable glucose control.

C. Regular insulin should be drawn up before NPH insulin to prevent contaminating the clear regular insulin with the cloudy NPH insulin. The correct order is to inject air into the NPH vial first (without withdrawing insulin), then inject air into the regular insulin vial, withdraw the regular insulin, and finally withdraw the NPH insulin.

D. The correct technique is to first inject air into the NPH vial, then inject air into the regular insulin vial. This prevents contamination and maintains sterility. However, when withdrawing insulin, regular insulin is drawn first to prevent mixing of NPH insulin into the regular insulin vial.

A. "Picture taking the stress you feel and pushing it down and out of your feet." B. "Focus on a pleasant memory and express your emotions in writing." C. "Think about a positive outcome to a stressful situation." D. "Tighten a muscle group, then release the tension and move to the next one."

Correct Answer is D

Explanation

A. This describes guided imagery, not progressive muscle relaxation.

B. Writing about emotions is a therapeutic strategy but not progressive relaxation.

C. Thinking about positive outcomes is a cognitive technique, not a physical relaxation method.

D. This is the correct answer. Progressive relaxation involves systematically tightening and relaxing muscle groups, which helps reduce stress and anxiety.

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A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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