NURS 240 EXAM QUESTIONS WITH  ANSWERS RATED A+ AND RATIONALLE
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
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