The nurse caring for a pregnant client experiencing nausea, vomiting, and heartburn should include which of the following instructions for the client?
1. Herbal home remedies are helpful to control the nausea, vomiting, and heartburn.
2. The physician can prescribe medication to treat the nausea, vomiting, and heartburn.
3. Avoid small meals and drinking fluids to limit nausea, vomiting, and heartburn.
4. Be sure to have a dental check up because pregnancy causes gum tenderness and swelling.
4. Be sure to have a dental check up because pregnancy causes gum tenderness and swelling.
Rationale:
The nurse should instruct the pregnant client to have a dental check up because pregnancy causes gum hypertrophy and tenderness. In addition, the client has been nauseated, vomiting, and experiencing heartburn. Each of these additional problems can impact dental health. Herbal home remedies should be discouraged since the most herbal remedies have not been studied for potential harmful effects on the developing fetus. Telling the client that the physician can prescribe medication to treat the nausea, vomiting, and heartburn would be providing inaccurate information; the use of medication while pregnant can lead to birth defects. The nurse should instruct the client to ingest small meals and drink fluids to prevent dehydration and poor nutrition of the developing fetus.
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