A patient at 8 weeks' gestation complains to the nurse, "I feel sick almost every morning. And I throw up at least two or three times a week." What is the nurse's best advice to the patient?
a. "Do you like cheese?"
b. "Try eating four meals a day instead of three meals a day."
c. "Try eating peanut butter on whole wheat bread right before going to bed."
d. "If you can eat enough throughout the day, you don't have to worry about being sick."
ANS: C
Eating a bedtime protein snack helps maintain glucose levels throughout the night. Cheese is high in fat and can aggravate nausea. Small and frequent meals is the recommendation; four meals a day is not frequent enough. Consumption is not the patient's stated concern—it is the nausea and vomiting.
You might also like to view...
Which course of action taken by her patient with osteoporosis would allow the nurse to know that her teaching was effective?
a. Taking a calcium supplement every day and increasing her phosphorous intake b. Participating in an aerobic barbell strength class at the gym three times a week c. Using a wheelchair to reduce the risk of spontaneous fractures to her legs and feet d. Seeking healthcare by scheduling a follow-up examination with bone density testing
Actions taken by the board of nursing against a nurse's license are:
1. A matter of public record. 2. Kept confidential by the board. 3. Available only to employers. 4. Part of a closed court record.
A client having a tube feeding begins vomiting. What action by the nurse is most appropriate?
a. Administer an antiemetic. b. Check the client's gastric residual. c. Hold the feeding until the nausea subsides. d. Reduce the rate of the tube feeding by half.
A male patient with a medical background tells the nurse that he is not satisfied with the oral synthetic testosterone that has been prescribed for him and he would like to try a natural form of oral testosterone
Which of the following would be an appropriate response by the nurse? A) "Natural testosterone undergoes a high first-pass effect and is not used orally." B) "Natural testosterone poses a higher risk of gynecomastia." C) "Natural testosterone undergoes a short first-past effect and is less extensively metabolized than what has been prescribed for you." D) "Natural testosterone would be more effective for you."