□ A home care nurse is instructing a client with hyperemesis
gravidarum about measures to ease the nausea and vomiting.
The nurse tells the client to:
A Eat foods high in calories and fat
B Lie down for at least 20 m
...
□ A home care nurse is instructing a client with hyperemesis
gravidarum about measures to ease the nausea and vomiting.
The nurse tells the client to:
A Eat foods high in calories and fat
B Lie down for at least 20 minutes after meals
C Eat carbohydrates such as cereals, rice, and pasta Correct
D Consume primarily soups and liquids at mealtimes Incorrect
□ Rationale: Low-fat foods and easily digested carbohydrates
such as fruit, breads, cereals, rice, and pasta provide important
nutrients and help prevent a low blood glucose level, which can
cause nausea. Soups and other liquids should be taken between
meals to avoid distending the stomach and triggering nausea.
Sitting upright after meals reduces gastric reflux. Additionally,
food portions should be small and foods with strong odors should
be eliminated from the diet, because food smells often incite
nausea.
□ Test-Taking Strategy: Use the process of elimination and
focus on the client’s diagnosis and the subject, ways to ease and
prevent nausea and vomiting. Knowing that foods high in fat may
be difficult to digest will assist you in eliminating this option. Next
eliminate the option that involves consuming primarily soups and
fluids at meals, recalling that liquids will cause distention of the
stomach. To select from the remaining options, recall that lying
down after meals can cause gastric reflux; this will direct you to
the correct option. Review measures to ease and prevent nausea
and vomiting if you had difficulty with this question.
□ Level of Cognitive Ability: Applying
□ Client Needs: Health Promotion and Maintenance
□ Integrated Process: Teaching and Learning
□ Content Area: Maternity/Antepartum
□ Giddens Concepts: Fluid and Electrolytes, Nutrition
□ HESI Concepts: Fluids and Electrolytes, Nutrition
□ Reference: McKinney, E., James, S., Murray, S., Nelson, K. &
Ashwill, J. (2013). Maternal-child nursing (4th ed., pp. 589-590). St.
Louis: Elsevier. Awarded 0.0 points out of 1.0 possible points.
□ 2.ID: 9476908110A nurse is caring for a client with
preeclampsia who is receiving a magnesium sulfate infusion to
prevent eclampsia. Which finding indicates to the nurse that the
medication is effective?
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