Nokea
A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6 g/dl and a hematocrit of 25.1%. What food should the nurse encourage this client to include in her diet?
- A. Carrots
- B. Chicken
- C. Yogurt
- D. Cheese
Correct Answer: B
Rationale: During pregnancy, it is common for women to experience a drop in hemoglobin levels, leading to anemia. Chicken is a good dietary source of iron, which is essential for increasing hemoglobin levels. Iron from animal sources, such as chicken, is more readily absorbed by the body compared to plant-based sources. Therefore, encouraging the client to include chicken in her diet can help improve her hemoglobin levels and combat anemia.
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A child with glomerulonephritis is asking for strawberries. What should the nurse do?
- A. Allow the child to eat strawberries.
- B. Restrict the child's diet.
- C. Give the child a low-protein diet.
- D. Increase the child's fluid intake.
Correct Answer: B
Rationale: In glomerulonephritis, it is crucial to restrict the child's diet, particularly avoiding foods high in potassium like strawberries. Potassium restriction is essential because impaired kidney function in glomerulonephritis can lead to potassium retention, potentially causing hyperkalemia. Therefore, the nurse should restrict the child's diet to manage their condition effectively.
A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan?
- A. Keep airway equipment at the bedside.
- B. Allow liberal family visitation.
- C. Monitor blood pressure, pulse, and respirations q4h.
- D. Assess temperature q1h.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A laboring client's membranes rupture spontaneously. The nurse notices that the amniotic fluid is greenish-brown. What intervention should the nurse implement first?
- A. Turn the client to her left side
- B. Contact the healthcare provider
- C. Assess the fetal heart rate
- D. Check the cervical dilation
Correct Answer: C
Rationale: The correct answer is to assess the fetal heart rate. When amniotic fluid is greenish-brown, it may indicate the presence of meconium, which can be concerning as it may lead to fetal distress. Assessing the fetal heart rate will help determine the well-being of the fetus and guide further actions to ensure the safety of both the mother and the baby.
The client delivered hours ago and has a boggy uterus displaced above and to the right of the umbilicus. What action should the nurse take?
- A. Inspect the perineal pad.
- B. Encourage voiding.
- C. Monitor vital signs.
- D. Notify the healthcare provider.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child with leukemia is admitted for chemotherapy, and the nursing diagnosis 'altered nutrition, less than body requirements related to anorexia, nausea, and vomiting' is identified. Which intervention should the nurse include in this child's plan of care?
- A. Allow the child to eat any food desired and tolerated.
- B. Provide small, frequent meals that are high in protein and calories.
- C. Offer the child preferred foods and avoid foods that are not well-tolerated.
- D. Consult with a dietitian to provide appropriate nutritional support.
Correct Answer: B
Rationale: In children with leukemia undergoing chemotherapy, anorexia, nausea, and vomiting are common issues leading to altered nutrition. Providing small, frequent meals that are high in protein and calories is essential to address these symptoms and meet the child's nutritional needs effectively. This approach helps in managing the side effects of treatment and supporting the child's nutritional requirements during this challenging time.