€ 15.99

NURS 240 FINAL EXAM STUDY GUIDE

1. 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
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.
A 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?
E. Clonus is present. Incorrect
F. Magnesium level is 10 mg/dL.
G. Deep tendon reflexes are absent.
H. The client experiences diuresis within 24 to 48 hours. Correct
Rationale: Magnesium sulfate is effective in preventing seizures (eclampsia) if diuresis occurs within 24 to 48 hours of the start of the infusion. As part of the therapeutic response, renal perfusion is increased and the client is free of visual disturbances, headache, epigastric pain, clonus (the rapid rhythmic jerking motion of the foot that occurs when the client’s lower leg is supported and the foot is sharply dorsiflexed), and seizure activity. Hyperreflexia indicates cerebral irritability. Clonus is normally not present. The therapeutic magnesium level is 4 to 8 mg/dL. Reflexes range from 1+ to 2+ but should not be absent.
A client with preeclampsia who is receiving magnesium sulfate in an intravenous infusion exhibits signs of magnesium toxicity. The nurse immediately prepares for the administration of:
I. Vitamin K
J. Protamine sulfate Incorrect
K. Calcium gluconate Correct
L. Naloxone hydrochloride
Rationale: Calcium gluconate is the antidote to magnesium sulfate because it antagonizes the effects of magnesium at the neuromuscular junction. It should be readily available whenever magnesium is administered. Vitamin K is the antidote in cases of hemorrhage induced by the administration of oral anticoagulants such as warfarin sodium (Coumadin). Protamine sulfate is the antidote in cases of hemorrhage induced by the administration of heparin. Naloxone hydrochloride is administered to treat opioid-induced respiratory depression.
A nurse instructs a pregnant client about foods that are high in folic acid. Which item does the nurse tell the client is the best source of folic acid?

Preview document (3 of 42 pages)

Unlock document

Download all 42 pages for € 15,99

Add document to cart
Report document Report document

€ 15,99

Add document to cart
  • check Money back guarantee
  • check Documents can be downloaded immediately
  • check € 0,50 discount when paying with balance

Specifications

Seller

doctorsolutions

38 documents uploaded

1 documents sold

Earn from your summaries?

icon 2

Do you make summaries or do you have any completed assignments? Upload your documents to Knoowy and earn money.

Upload document

Subjects of Health Assessment - Chamberlain College Of Nursing

More Health Assessment ›

nursing nursning philosophy poli 330n More Health Assessment ›

Log in via e-mail
New password
Subscribe via e-mail
Sign up via Facebook
Shopping cart

Deal: get 10% off when you purchase 3 or more items!

Deal: get 10% off when you purchase 3 or more items!

[Inviter] gives you € 2.50 to purchase summaries

At Knoowy you buy and sell the best studies documents directly from students.
Upload at least one item, please help other students and get € 2.50 credit.

Register now and claim your credit