Author Question: The nurse caring for a pregnant client experiencing nausea, vomiting, and heartburn should include ... (Read 22 times)

Chloeellawright · **on:** Jul 22, 2018

The nurse caring for a pregnant client experiencing nausea, vomiting, and heartburn should include which of the following instructions for the client?

1. Herbal home remedies are helpful to control the nausea, vomiting, and heartburn.
2. The physician can prescribe medication to treat the nausea, vomiting, and heartburn.
3. Avoid small meals and drinking fluids to limit nausea, vomiting, and heartburn.
4. Be sure to have a dental check up because pregnancy causes gum tenderness and swelling.

Question 2

The nurse is caring for an 82-year-old client diagnosed with chronic renal failure (CRF). The client reports no bowel movement in the past 2 days. This client is at an increased risk for which of the following?

1. Hypokalemia
2. Metabolic acidosis
3. Hyperkalemia
4. Increased serum creatinine levels

Ahernandez18 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Be sure to have a dental check up because pregnancy causes gum tenderness and swelling.

Rationale:
The nurse should instruct the pregnant client to have a dental check up because pregnancy causes gum hypertrophy and tenderness. In addition, the client has been nauseated, vomiting, and experiencing heartburn. Each of these additional problems can impact dental health. Herbal home remedies should be discouraged since the most herbal remedies have not been studied for potential harmful effects on the developing fetus. Telling the client that the physician can prescribe medication to treat the nausea, vomiting, and heartburn would be providing inaccurate information; the use of medication while pregnant can lead to birth defects. The nurse should instruct the client to ingest small meals and drink fluids to prevent dehydration and poor nutrition of the developing fetus.

Answer to Question 2

3. Hyperkalemia

Rationale:
Constipation exacerbates hyperkalemia, and it is important to monitor CRF clients who already have impairment of potassium. Hypokalemia is not affected by constipation. Metabolic acidosis and serum creatinine levels may not directly correlate with a decrease in the glomerular filtration rate in the elderly and are not directly affected by constipation.