A nurse providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following food suggestions should the nurse include in the teaching?

Peanut butter sandwich

Sliced apples

Glass of skim milk

Scrambled egg

Answer and Explanation

The Correct Answer is B

A. Peanut butter sandwich: Incorrect. Peanut butter contains phenylalanine, an amino acid that people with phenylketonuria (PKU) must limit in their diet. Foods high in phenylalanine should be avoided to prevent complications.

B. Sliced apples: Correct. Sliced apples are low in phenylalanine and safe for individuals with PKU. Fruits are generally recommended for PKU patients as they provide essential nutrients without significant amounts of phenylalanine.

C. Glass of skim milk: Incorrect. Milk, including skim milk, contains phenylalanine, which should be limited or avoided by individuals with PKU. They need to consume specially formulated low-phenylalanine products.

D. Scrambled egg: Incorrect. Eggs are high in phenylalanine and should be avoided by individuals with PKU. They need to choose low-protein alternatives that do not contribute to their phenylalanine levels.

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Correct Answer is ["A","B","D"]

Explanation

A. "Are you taking over-the-counter medications?": Correct. It's important to ask about other medications, including over-the-counter ones, to avoid potential drug interactions or contraindications with ibuprofen.

B. "Do you have a history of gastric problems?": Correct. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation or bleeding, so a history of gastric issues is important to consider.

C. "What kind of contraception will you be using?": Incorrect. This question is not directly related to the safe use of ibuprofen and its effects.

D. "Are you being treated for high blood pressure?": Correct. NSAIDs like ibuprofen can affect blood pressure, so it is important to assess whether the client has hypertension or is being treated for it.

E. "Do you have a history of cataracts?": Incorrect. A history of cataracts is not relevant to the administration of ibuprofen.

A. Abruptio placentae B. Hydatidiform mole C. Preterm labor D. Placenta previa

Correct Answer is A

Explanation

A. Abruptio placentae: Correct. Continuous abdominal pain and vaginal bleeding, especially in a client with a history of cocaine use, suggest abruptio placentae. Cocaine use is a significant risk factor for this condition, where the placenta detaches prematurely from the uterine wall.

B. Hydatidiform mole: Incorrect. Hydatidiform mole, or molar pregnancy, typically presents with abnormal vaginal bleeding early in pregnancy, not at 38 weeks of gestation.

C. Preterm labor: Incorrect. While preterm labor can involve abdominal pain and bleeding, the specific combination of continuous abdominal pain and vaginal bleeding with a history of cocaine use is more indicative of abruptio placentae.

D. Placenta previa: Incorrect. Placenta previa generally causes painless bleeding, not continuous abdominal pain. It also usually presents earlier in pregnancy.

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A nurse providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following food suggestions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping. Which of the following questions should the nurse ask prior to administering the medication? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?

Correct Answer is A

Explanation

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