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.
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
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。