The nurse is talking with a client who states that the prescribed ...

[jessicacav]

The nurse is talking with a client who states that the prescribed diet does not provide enough variation of choice. The best response by the nurse is:
 
  1. I will notify dietary to change your diet..
   2. I will ask my manager to talk with the dietician..
   3. I will talk to the doctor for a new diet order..
   4. I will bring you a different menu..

Question 2

A client who is at 12 weeks' gestation is experiencing nausea, breast tenderness, and fatigue. She tells the nurse her husband is upset with her constant complaints.
 
  Which of the following nursing diagnoses would be of the highest priority for the client at this time? 1. Fatigue
   2. Nausea
   3. Ineffective Breastfeeding
   4. Dysfunctional Family Processes

[juwms]

Answer to Question 1

3. I will talk to the doctor for a new diet order..

Rationale:
It is against most states' nurse practice acts for the nurse to order a diet for the client. The nurse is allowed to assist the client to choose appropriate foods as order by the physician. The nurse cannot notify dietary or enlist the assistance of a manager to change the diet. The nurse would not give the client a different menu.

Answer to Question 2

2. Nausea

Rationale:
Of the three physiological complaints, the one that has the highest priority is nausea because it could directly impact the developing fetus. Breast tenderness does not mean that the client will experience ineffective breastfeeding. Fatigue is a common symptom of pregnancy and would not negatively impact the developing fetus. The husband being upset with the client's complaints does not necessarily mean that she and her husband have dysfunctional family processes.

[jessicacav]

Excellent

[recede]

TYSM