The nurse caring for a woman hospitalized for hyperemesis gravidarum expects that initial treatment will involve:
1. corticosteroids to reduce inflammation.
2. IV therapy to correct fluid and electrolyte imbalances.
3. an antiemetic such as pyridoxine to control nausea and vomiting.
4. enteral nutrition to correct nutritional deficits.
2
1. Incorrect. Corticosteroids have been used successfully to treat refractory hyperemesis gravidarum but are not the expected initial treatment for this disorder.
2. Correct. Initially, the woman who is unable to down clear liquids by mouth will require IV therapy for correction of fluid and electrolyte imbalances.
3. Incorrect. Pyridoxine is vitamin B6, not an antiemetic. Promethazine, a common anti-emetic, may be prescribed.
4. Incorrect. In severe cases of hyperemesis gravidarum, enteral nutrition via a feeding tube may be necessary to correct maternal nutritional deprivation. This would not be the initial treatment for the patient.
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