A pregnant woman presents to the emergency department complaining of persistent nausea and vomiting. She is diagnosed with hyperemesis gravidarum. The nurse should include which information when teaching about diet for hyperemesis? (Select all that apply)
Eat three larger meals a day.
Ice cream may stay down better than other foods.
Eat what sounds good to you even if your meals are not well-balanced.
Avoid ginger tea or sweet drinks.
Eat a high-protein snack at bed.
Correct Answer : B,C,E
Choice A reason: Eating three larger meals a day is not recommended for hyperemesis gravidarum, as it may increase the nausea and vomiting. Instead, the nurse should advise the woman to eat small, frequent meals throughout the day.
Choice B reason: Ice cream may stay down better than other foods, as it is cold, bland, and soothing. The nurse should encourage the woman to try foods that are appealing to her and avoid foods that trigger nausea.
Choice C reason: Eating what sounds good to the woman even if her meals are not well-balanced is acceptable for hyperemesis gravidarum, as the priority is to maintain hydration and nutrition. The nurse should reassure the woman that she can resume a balanced diet once her symptoms improve.
Choice D reason: Avoiding ginger tea or sweet drinks is not necessary for hyperemesis gravidarum, as some women may find them helpful in reducing nausea. The nurse should suggest the woman to experiment with different beverages and see what works for her.
Choice E reason: Eating a high-protein snack at bedtime is beneficial for hyperemesis gravidarum, as it can prevent low blood sugar levels and morning sickness. The nurse should recommend the woman to have a protein-rich food, such as cheese, yogurt, nuts, or eggs, before going to bed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is incorrect because oral antiviral therapy is not effective for PID, which is caused by bacterial infection. Antiviral therapy is used for viral infections, such as herpes or HIV.
Choice B reason: This is incorrect because antibiotics only until symptoms subside is not sufficient for PID, which can cause serious complications, such as infertility, ectopic pregnancy, or chronic pelvic pain. Antibiotics should be continued for the full course of treatment, usually 14 days, to ensure complete eradication of the infection.
Choice C reason: This is incorrect because frequent pelvic examination to monitor the progress of healing is not recommended for PID, which can cause inflammation and irritation of the pelvic organs. Pelvic examination should be avoided or minimized to prevent further trauma or spread of the infection.
Choice D reason: This is correct because bed rest in a semi-Fowler position is beneficial for PID, which can cause fluid accumulation and pressure in the pelvic cavity. Bed rest helps to reduce inflammation and pain, while semi-Fowler position helps to drain the fluid and prevent abscess formation.
Correct Answer is D
Explanation
Choice A reason: She will not be unable to conceive in the future, as ectopic pregnancy does not necessarily affect her fertility. However, she may have a higher risk of having another ectopic pregnancy or infertility if the fallopian tube is damaged or removed.
Choice B reason: A D&C (dilation and curettage) will not be performed to remove the products of conception, as this procedure is used to empty the uterus, not the fallopian tube. The treatment for ectopic pregnancy may include medication, surgery, or expectant management, depending on the location, size, and viability of the pregnancy.
Choice C reason: Bed rest and analgesics are not the recommended treatment for ectopic pregnancy, as they do not address the underlying cause or prevent complications. Ectopic pregnancy is a medical emergency that requires prompt intervention to prevent rupture, bleeding, and shock.
Choice D reason: Hemorrhage is the major concern for ectopic pregnancy, as the pregnancy can rupture the fallopian tube and cause severe bleeding into the abdominal cavity. This can lead to hypovolemic shock, which is a life-threatening condition.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.