QUESTION: "A pregnant woman states that she frequently ingests laundry starch. When assessing the client, for which of the following should the nurse be alert?"
CHOICES
( X ) a.) Muscle spasms.
( X ) b.) Lactose intolerance.
( X ) c.) Diabetes mellitus.
( O ) d.) Anemia.
RATIONALE: All pregnant clients should be screened for pica, or the ingestion of nonfood substances, such as clay, dirt, or laundry starch. Commonly, clients who practice pica are anemic. Muscle spasms are not associated with the ingestion of laundry starch. However, they may be related to seizure disorder or seizure activity or a calcium deficiency. Lactose intolerance is not associated with the ingestion of laundry starch. Lactose intolerance would occur when the client ingests milk or milk products. Diabetes mellitus is not associated with the ingestion of laundry starch. Diabetes mellitus is associated with abnormal glucose levels, excessive thirst, and frequent voiding. NURSING PROCESS STEP: Assessment CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential
