A client who is in the first trimester of pregnancy tells the nurse that she is constantly nauseated and can vomit at any time. To assist this client, the nurse should instruct her to:

1. Take a multivitamin with iron each day.
2. Take a multivitamin without iron each day.
3. Drink a glass of water every time nausea occurs.
4. Take Benadryl over-the-counter for the nausea.


2. Take a multivitamin without iron each day.

Rationale:
Multivitamins without iron will reduce the nausea associated with the first trimester of pregnancy. The nurse should not suggest taking the vitamin with iron, which can contribute to nausea. The nurse should not instruct the client to drink a glass of water every time nausea occurs because this could lead to the ingestion of high quantities of water. The nurse should also not instruct the client to ingest an over-the-counter medication without discussing with her physician.

Nursing

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Which statement indicates that a nurse manager understands the significance of the National Health Planning and Resource Development Act (NHPRA) of 1974?

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A nurse receives an order from a health care provider to administer hydrocodone and acetaminophen (Vicodin ES 7.5/750), to a patient who is experiencing 8/10 postsurgical pain

The order is to give 2 tablets every 6 hours by mouth as needed for pain. What is the nurse's next best action? a. Give the Vicodin ES to the patient immediately because the patient is experiencing severe pain. b. Ask the health care provider for a nonsteroidal antiinflammatory drug (NSAID) order. c. Ask the health care provider to verify the dosage and frequency of the medication. d. Give the Vicodin ES in addition to playing soothing music for the patient.

Nursing