A pregnant woman who has morning sickness asks the nurse what she can do to decrease her symptoms. The nurse will counsel her to take which action?
a. Avoid fatty foods.
b. Drink fluids with meals.
c. Eat a large lunch and dinner.
d. Take an iron supplement in the morning.
ANS: A
Avoiding fatty foods is a nonpharmacologic measure to reduce nausea and vomiting. Patients should drink fluids between and not with meals. Taking iron in the morning is not recommended. The pregnant woman should eat small, frequent meals.
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The nurse is caring for a critically ill patient with pancreatitis. What are the indications for starting parenteral nutrition (PN) for this patient?
A) 5% deficit in body weight compared to preillness weight and inability to consume oral food and fluids B) 7% deficit in body weight compared to preillness weight and restrictions to a clear liquid diet C) 10% deficit in body weight compared to preillness weight and inability to consume oral food and fluids D) 12% deficit in body weight and restrictions to a mechanical soft diet
The nurse is reviewing medication for heart failure. The nurse is correct to assume that the front-line therapy for heart failure currently consists of which regimen?
a. Loop diuretic, potassium-sparing diuretic, and cardiac glycoside b. Calcium channel blocker, diuretic, and cardiac glycoside c. Diuretic, ACE inhibitor, and beta blocker d. Beta blocker, calcium channel blocker, and diuretic
The nurse observes a female client rubbing the chest of her asthmatic daughter with a coin. Which of the following reflects a culturally sensitive, or transcultural, response to this client?
A) "Stop! You're hurting your child!" B) "What is it that you are doing right now?" C) "I'll have to inform the doctor that you are not following instructions." D) "You are making your daughter cry."
L.M. responds well to the antibiotics, and her shunt is internalized 2 weeks later. she is released from the
hospital after observation for 2 days. While you are giving your discharge instructions, L.M.'s mother states that she normally gives L.M. 1 mL of acetaminophen (Tylenol Elixir), 160 mg/5 mL, and asks whether this is the correct dose. L.M.'s current weight is 4.5 kg and the therapeutic range of acetaminophen dosage is 10 to 15 mg/kg q4-6 h. Which of these statements would be your best response? a. "This is a safe amount; you should continue to give that dose every 4 hours." b. "You can continue to give her that amount; you can give her a dose every 2 hours." c. "You should give 1.4 to 2.1 mL every 4 to 6 hours based on her current weight." d. "Tylenol should not be given to a child her age."