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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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. Restrict protein intake to less than 40 g/day. B. Initiate seizure precautions for the client. C. Initiate an infusion of 0.9% sodium chloride at 150 mL/hr. D. Encourage the client to ambulate twice per day.

Correct Answer is B

Explanation

A. Incorrect. Restricting protein intake is not a recommended action for managing severe preeclampsia. Dietary management should focus on overall nutrition rather than specific protein restriction.

B. Correct. Seizure precautions should be initiated for clients with severe preeclampsia due to the risk of seizures, which are a potential complication of the condition.

C. Incorrect. The infusion of 0.9% sodium chloride is typically used for fluid management but the rate should be adjusted based on the client's fluid status and needs. A specific infusion rate may not be universally indicated.

D. Incorrect. Ambulation may not be advised in severe preeclampsia due to the risk of complications. Bed rest is often recommended to manage blood pressure and reduce stress on the body.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is assessing a newborn whose mother had gestational diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 8 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase their intake during the first trimester of pregnancy?

A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?

A nurse is assessing a newborn who is 48 hours old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?

A nurse is assessing a client who gave birth 1 week ago. The client states, "I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason." The nurse should identify that the client is experiencing which of the following emotional responses to birth?

A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse expect?

A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a client who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor. Which of the following findings should the nurse report to the provider?