The practical nurse (PN) tells a pregnant client not to eat if she is in labor. Which is the most important reason for this nursing intervention?
Nausea occurs at the onset of labor.
Emptying time of the stomach is increased in labor.
Blood is shunted from the gut during labor.
There is increased risk of aspiration of emesis.
The Correct Answer is D
A. Nausea occurs at the onset of labor:
Nausea may occur but is not the primary reason for NPO status.
B. Emptying time of the stomach is increased in labor:
True, but the main concern is aspiration risk.
C. Blood is shunted from the gut during labor:
Not the major factor for NPO order.
D. There is increased risk of aspiration of emesis:
During labor, anesthesia may be required; delayed gastric emptying increases aspiration risk if vomiting occurs under sedation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Give a complete bed bath to further assess the client:
This could cause unnecessary pain and discomfort; comfort is the priority.
B. Discuss end-of-life decisions with the client's parents:
The client appears to be in the terminal stage of AIDS. It is appropriate to initiate discussions about palliative and hospice care with family.
C. Call for ambulance transportation to the hospital immediately:
The client’s condition is not unstable; hospitalization may not be indicated at this stage.
D. Remove the fentanyl patch as directed by prescription:
Removing pain control would worsen suffering unless there is a prescription change for adverse effects.
Correct Answer is C
Explanation
A. Recommend client increase fiber intake: Not necessary; diarrhea is due to medication effect.
B. Report the liquid stool to the healthcare provider: Not necessary unless excessive diarrhea or dehydration occurs.
C. Explain that this is a desired effect of the medication: Kayexalate removes potassium through the stool; watery stools show it is working.
D. Withhold the medication until diarrhea stops: Only done if severe diarrhea or electrolyte imbalance occurs.
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.
