A client in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?" The nurse's best response is:

a. "It is due to an increase in gastric motility."
b. "It may be due to changes in hormones."
c. "It is related to an increase in glucose levels."
d. "It is caused by a decrease in gastric secretions."


B
Nausea and vomiting are believed to be caused by increased levels of hormones, decreased gastric motility, and hypoglycemia.

Nursing

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The nurse is reviewing a client's history with the client prior to initiating a blood transfusion

The nurse explains the objectives for administering blood transfusions as including:(Select all that apply) Standard Text: Select all that apply. 1. Restoring and maintaining blood volume 2. Improving the oxygen-carrying capacity of the circulatory system 3. Restoring and maintaining acid-base balance 4. Permitting neonatal blood exchange 5. Treating blood deficiencies such as anemia

Nursing

The nurse is caring for a Native American in a rural rehabilitation facility. The nurse notices that the patient has eaten very little since his admission 10 days ago. When she asks the patient about his eating, he states, "I can't eat any of this food

It just isn't what I eat at home and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of his heart attack and that he has lost 7 pounds since admission. Based on this scenario, what is/are the most appropriate nursing diagnosis(es) for this patient? Select all that apply. a. Noncompliance related to difficulty adhering to the medical regimen b. Possible Knowledge deficit related to disease process c. Imbalanced nutrition: less than body requirement related to cultural dietary practices d. Decreased appetite related to anxiety secondary having a heart attack

Nursing

Documentation should verify the need for interventions and verify the care given because the chart:

1. is a legal record and documents accountability. 2. helps with research projects. 3. improves communication. 4. provides good quality assurance data.

Nursing

Which nursing intervention would you use to prevent tracheal stenosis in a client after tracheostomy?

A. Securing the tube in a midline position B. Assessing bilateral breath sounds every 2 hours C. Changing the tracheostomy ties every 24 hours D. Suctioning the tube with as small a catheter as possible

Nursing