A patient who is at 10 weeks' gestation tells her nurse, "I'm making too much saliva, and I spit on people every time I talk! What's wrong with me?" How should the nurse respond?
1. "Let's schedule you for a doctor's appointment, because excessive salivation can signal a complication of pregnancy."
2. "That's called ptyalism, and it's usually caused by increased salt intake during the second trimester."
3. "You should avoid astringent mouthwashes and chewing gum."
4. "Excess salivation commonly occurs during the first trimester, although the cause is unknown."
Correct Answer: 4
Rationale 1: Excess salivation, also called ptyalism, is a normal occurrence in women during the first trimester.
Rationale 2: Ptyalism, which is excess production of saliva, usually occurs during the first trimester and the cause is unknown.
Rationale 3: Astringent mouthwashes, chewing gum, and sucking hard candy may help relieve the bitter taste that often accompanies ptyalism.
Rationale 4: Ptyalism, which is excess production of saliva, commonly occurs during the first trimester and the cause is unknown.
You might also like to view...
Why is dextrose 5% in water considered to be a hypotonic solution rather than an isotonic solution, even though its osmolarity is 272 mOsm/L?
A. An isotonic solution must have an osmolarity greater than 300 mOsm/L. B. Glucose is not an electrolyte and does not completely dissociate in water. C. Glucose is immediately metabolized upon administration, leaving pure water in circulation. D. Intravenous glucose immediately draws water from the interstitial and intracellu-lar spaces, resulting in hemodilution.
The nurse has been performing cardiopulmonary resuscitation (CPR) on an infant. Which method does the nurse use to determine its effectiveness?
a. Waits for the infant to cry after CPR ceases b. Stops chest compressions to feel for a pulse c. Feels for the pulse during chest compres-sions d. Delivers 30 compressions to each rescue breath
A woman in labor suddenly complains of abdominal tenderness and pain and states that she felt as though "something ripped." For which manifestations does the nurse, suspecting uterine rupture, assess the client?.
A. Bradypnea B. Severe chest pain C. Absence of fetal heart tones D. Increased blood pressure E. Increased frequency of uterine contractions
Explain the key difference between barbiturates and nonbarbiturates.
A. Unlike barbiturates, nonbarbiturates are CNS depressants that contain the barbituric acid ring structure in their chemical makeup. B. Unlike nonbarbiturates, barbiturates are CNS depressants that contain the barbituric acid ring structure in their chemical makeup. C. Barbiturates decrease the activity of GABA, and nonbarbiturates increase the activity of GABA. D. None of the above are correct.