The nurse has reviewed the Nurses' Notes from 5 days ago. The nurse is providing discharge teaching to the client. Select the 3 statements the nurse should make.
Explanation & Rationale
A. "Avoid consuming dairy products.": Dairy products are not contraindicated in hyperemesis gravidarum unless the client experiences intolerance or triggers nausea. Eliminating dairy entirely is unnecessary and may reduce nutritional intake. B. "Eat something every 3 hours while awake.": Frequent, small meals help prevent an empty stomach, which can worsen nausea and vomiting in hyperemesis gravidarum. This strategy promotes more consistent nutrient intake and reduces episodes of vomiting. C. "Avoid drinking carbonated beverages.": Carbonated beverages are not universally contraindicated and may sometimes help settle nausea for some clients. Blanket avoidance is not required unless the client identifies carbonation as a personal trigger. D. "Eat a high-protein snack at bedtime.": Consuming protein before bed can help maintain blood glucose levels overnight and reduce nausea upon waking, which is especially beneficial in managing hyperemesis gravidarum. E. "Drink liquids between, rather than with, meals.": Drinking fluids between meals prevents the stomach from becoming too full during eating, which can exacerbate nausea and vomiting. This approach helps improve hydration without worsening gastrointestinal discomfort.