Question:

A 19-year-old G1 P0 is being discharged home after hospitalization for hyperemesis gravi-darum and is being referred to home health care. The nurse should develop a discharge plan that includes which of the following? Select all that apply. 

1. Refer client to a nutritionist for the following day. 

2. Ensure that the client has a prescription for an antiemetic. 

3. Ask the health care provider for an anxiolytic prescription. 

4. Encourage return to normal routine when client feels ready. 

5. Coordinate follow-up appointment with provider in 6 weeks.

6. Discuss plan of care and discharge instructions with client.

Answer:1,2,4,6

The nurse case manager should refer the client to a nutritionist so the client is aware of and can be monitored regarding her food intake to assure transition to a normal pregnancy diet with intake of adequate nutrients to support growth and development of the fetus. A PRN (as needed) prescription for an antiemetic is useful to overcome occasional episodes of nausea and vomiting. Encouraging a return to normal activities when the client feels ready gives the client a goal to look forward to and activity is not contraindicated in hyperemesis when the client feels ready to initiate activity. Discussion of the plan of care and discharge instructions is a standard of care when discharging a client from a health care facility. 

There is no indication for an anxiolytic and hyperemesis gravidarum typically is not associated with anxiety. Six weeks is too long to wait for a follow-up appointment post hospitalization. 

CN: Management of care; CL: Create

翻译

问题：

一名19岁的G1 P0病人因妊娠严重呕吐住院后出院回家，并转介到家庭保健中心。护士应制定出院计划，包括以下哪项？选择所有适用的选项。

1.第二天将病人转诊给营养师。

2.确保病人有止吐药的处方。

3.向医疗服务提供者索要抗焦虑药。

4.当病人感觉准备好时，鼓励恢复正常生活。

5.在6周内与医疗机构协调随访预约。

6.与病人讨论护理计划和出院说明。

答案：1,2,4,6

护士应将病人转介给营养师，以便病人了解并监测其食物摄入量，以确保过渡到正常妊娠饮食，摄入足够的营养素，以支持胎儿的生长发育。PRN（根据需要）的止吐药处方对克服偶尔出现的恶心和呕吐很有用。当病人感觉准备好时，鼓励病人恢复正常活动可以给病人一个值得期待的目标，当病人感觉准备好开始活动时，活动不是呕吐的禁忌症。讨论护理计划和出院说明是病人从医疗机构出院时的护理标准。

没有迹象表明有抗焦虑的指征，妊娠期呕吐通常与焦虑无关。六周太长了，不能等待住院后的随访。

CN：护理管理；CL:创建

小编寄语：When no one helps you, you should stand straight, the road is still long, the figure should be beautiful.没人扶你的时候，自己要站直，路还长，背影要美。