Which suggestion is appropriate for the pregnant client who is experiencing heartburn?
a. Drink plenty of fluids at bedtime.
b. Eat only three meals a day so the stomach is empty between meals.
c. Drink coffee or orange juice immediately on arising in the morning.
d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.
ANS: D
Antacids high in calcium (e.g., Tums, Alkamints) can provide temporary relief. Fluids overstretch the stomach and may precipitate reflux when lying down. Instruct the woman to eat five or six small meals per day rather than three full meals. Coffee and orange juice stimulate acid formation in the stomach.
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The nurse examines a client who had a total knee replacement and has been placed in a continuous passive motion machine. The client asks, "What is the purpose of that machine?" The nurse explains the purpose by saying:
1. "The machine is used to prevent scarring of the incision site and keep the knee elevated." 2. "The machine prevents rusting of the artificial joint, which could occur because of the fluids in your body coming in contact with it." 3. "The machine helps to decrease swelling and maintain normal function until you can begin exercising your knee independently." 4. "The machine helps to provide exercise so you don't gain weight while your activity level is diminished."
The nurse is reviewing aspects of cultural care. Which statements illustrate proper cultural care? Select all that apply
a. Examine the patient within the context of one's own cultural health and illness practices. b. Select questions that are not complex. c. Ask questions rapidly. d. Touch patients within the cultural boundaries of their heritage. e. Pace questions throughout the physical examination.
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a. Urethral obstruction c. Stress incontinence b. Urinary retention d. Severely impaired skin integrity
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The nurse reviews the patient's history prior to instructing the patient on the use of this medication. What disorder will contraindicate the use of tadalafil (Cialis)? A) Cataracts B) Retinopathy C) Hypotension D) Diabetic nephropathy