Which client is has the greatest need for nutrition counseling during her first prenatal visit?
1. A client with phenylketonuria
2. A client entering her third pregnancy
3. The vegan client who has had preconception counseling
4. A 42-year-old client with a BMI of 22
1
Rationale: Phenylalanine crosses the placenta and leads to higher levels in the fetus than the mother. Maintenance of maternal phenylalanine levels within and acceptable range during pregnancy is associated with greatly diminished risk of poor infant outcomes. The nurse should reinforce nutritional teaching the vegan client received before becoming pregnant. Although the 42-year-old client is advanced for maternal age, a BMI of 22 is considered a healthy weight and the client should be encourage to maintain a healthy diet.
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What will be an ideal response?
A nurse is caring for a client who has chronic renal failure. The nurse states, "We will do every-thing possible to return you to the optimum level of self-care possible."
In coordinating an approach to best meet the needs of this client, the nurse is fulfilling the role of: 1. Manager 2. Educator 3. Counselor 4. Communicator
A client states to the nurse, "I read that my antidysrhythmic drug can actually cause me to have irregular heartbeats. How can this be?" Which response should the nurse provide the client?
A. "Your medication blocks the flow of the electrolytes in your heart, and this can cause irregular beats." B. "The literature is not always accurate, but if you have concerns I recommend discussing them with your healthcare provider." C. "The aspirin that you take every day will help you avoid experiencing the irregular heartbeats." D. "Your prescription is not the problem; it is when you mix it with over-the-counter (OTC) drugs that you develop irregular beats."
The client who is taking prescribed _____ would require preconception management to minimize the potential for drug-related birth defects
a. antiemetics b. antiepileptics c. iron d. non-narcotic analgesics