What intervention should a nurse recommend for a client with hyperemesis gravidarum?

Monitoring intake and output is a crucial intervention for a client with hyperemesis gravidarum, a condition characterized by severe nausea and vomiting during pregnancy. This intervention helps the healthcare team assess the client’s hydration status and nutritional intake, which is vital because hyperemesis can lead to significant fluid and electrolyte imbalances. By tracking these measurements, the nurse can identify any signs of dehydration or complications that may require further intervention.

In hyperemesis gravidarum, the client often experiences excessive vomiting, which can lead to loss of fluids and electrolytes. Regularly monitoring these parameters allows for timely adjustments to intravenous fluids or dietary recommendations to maintain or restore hydration and nutritional status. This is essential for both the health of the mother and the developing fetus.

The other options, while possibly relevant in other contexts, do not address the immediate need for monitoring and supporting the client’s hydration and nutrient balance effectively. For example, restricting fluid intake would exacerbate dehydration, encouraging high-calorie snacks may not be feasible if the client cannot keep food down, and administering antihistamines might provide symptomatic relief but does not directly address the overall health and monitoring needs of the client in this situation.