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NURS 206Hesi:Saunders Online Review Focus on Maternity/questions and answers/correct/verified A+

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NURS 206Hesi:Saunders Online Review Focus on MaternityNURS 206Hesi:Saunders Online Review Focus on Maternity/questions and answers/correct/verified A+NURS 206Hesi:Saunders Online Review Focus on Maternity/questions and answers/correct/verified A+ A home care nurse is instructing a client wit...

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nurs 206hesisaunders online review focus on mater

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NURS 206Hesi:Saunders Online Revie js js js

w Focus on Maternity/questions and ans
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wers/correct/verified A+ js

A home care nurse is instructing a client with hyperemesisgr
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avidarum about measures to ease the nausea and vomiting.
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The nurse tells the client to:
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A Eat foods high in calories and fat
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B Lie down for at least 20 minutes after meals
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C Eat carbohydrates such as cereals, rice, and pasta Correct
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D Consume primarily soups and liquids at mealtimes Incorrect
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□ Rationale: Low- j s

fat foods and easily digested carbohydrates such as fruit, bread
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s, cereals, rice, and pasta provide important nutrients and help
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prevent a low blood glucose level, which can cause nausea. Sou
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ps and other liquids should be taken between meals to avoid di
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stending the stomach and triggering nausea. Sitting upright after m
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eals reduces gastric reflux. Additionally, food portions should be
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ssmall and foods with strong odors shouldbe eliminated from th
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e diet, because food smells often incite nausea.
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□ Test-
Taking Strategy: Use the process of elimination and focus on the
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client’s diagnosis and the subject, ways to ease and prevent nau
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sea and vomiting. Knowing that foods high in fat maybe difficu
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lt to digest will assist you in eliminating this option. Nexteliminat
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e the option that involves consuming primarily soups andfluids
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sat meals, recalling that liquids will cause distention of the stoma
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ch. To select from the remaining options, recall that lying down afte
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r meals can cause gastric reflux; this will direct you to the correc
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t option. Review measures to ease and prevent nauseaand vomiting
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if you had difficulty with this question.
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□ Level of Cognitive Ability: Applying js js js js

□ Client Needs: Health Promotion and Maintenance js j s j s j s j s

□ Integrated Process: Teaching and Learning j s j s j s j s

□ Content Area: Maternity/Antepartum jsj s jsj s

,□ Giddens Concepts: Fluid and Electrolytes, Nutrition
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,□ HESI Concepts: Fluids and Electrolytes, Nutrition
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□ Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashw
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ill, J. (2013). Maternal-child nursing (4th ed., pp. 589-
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590). St.Louis: Elsevier. Awarded 0.0 points out of 1.0 possible p
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oints.
□ 2.ID: 9476908110A nurse is caring for a client with preeclamp
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sia who is receiving a magnesium sulfate infusion to prevent eclam
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psia. Which finding indicates to the nurse that themedication i
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s effective?
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,A Clonus is present. js js

B Magnesium level is 10 mg/dL (4.11 mmol/ j s js js js js j s

L)C sj Deep tendon reflexes are absent.
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D The client experiences diuresis within 24 to 48 hours. Correct
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□ Rationale: Magnesium sulfate is effective in preventing seizur js jsjs js jsjs js js js

es (eclampsia) if diuresis occurs within 24 to 48 hours of thesta
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rt of the infusion. As part of the therapeutic response, renal perfu
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sion is increased and the client is free of visual disturbances,hea
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dache, epigastric pain, clonus (the rapid rhythmic jerking motion of
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the foot that occurs when the client’s lower leg is supported and
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the foot is sharply dorsiflexed), and seizure activity. Hyperreflexia
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jsindicates cerebral irritability. Clonus is normally not present. The
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jstherapeutic magnesium level is 4 to 8 mg/dL (1.64 to 3.29 mmol/ js js js js js js js js js js js

L). Reflexes range from 1+ to 2+ but should not be absent.
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□ Test-
Taking Strategy: Use the process of elimination and focus on the s
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trategic words ―medication is effective.‖ Recalling the actions of th
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is medication and expected assessment findingsafter a client recei
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ves magnesium sulfate will direct you to this option. Review the
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sexpected assessment findings for a client receiving magnesium s
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ulfate if you had difficulty with this question.
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□ Level of Cognitive Ability: Evaluating js js js js

□ Client Needs: Physiological Integrity j s j s j s

□ Integrated Process: Nursing Process/Evaluation j s j s j s

□ Content Area: Pharmacology j s j s

□ Giddens Concepts: Evidence, Perfusion j s j s j s

□ HESI Concepts: Evidence- j s js

Based Practice/Evidence,Perfusion/Clotting
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□ Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashw js js js js js js j s j s j s js

ill, J. (2013). Maternal-child nursing (4th ed., pp. 594-
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595). St.Louis: Elsevier. Awarded 1.0 points out of 1.0 possible p
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oints.
□ 3.ID: 9476908130A client with preeclampsia who is receivi
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ngmagnesium sulfate in an intravenous infusion exhibits signs of m
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agnesium toxicity. The nurse immediately prepares for the admini
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stration of: js

A Vitamin K js

B Protamine sulfate js

C Calcium gluconate Correct js js

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