A male patient suffered a diffuse axonal injury from a traumatic brain injury (TBI). He has been maintained on IV fluids for 2 days. The nurse seeks enteral feeding for this patient based on what rationale?
A. Free water should be avoided.
B. Sodium restrictions can be managed.
C. Dehydration can be better avoided with feedings.
D. Malnutrition promotes continued cerebral edema.
Answer: D. Malnutrition promotes continued cerebral edema.
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The client reports confusion about the names of his medications. The nurse explains that the generic name of a medication is:
1. The name under which it is listed in one of the official publications. 2. The name which describes the drug constituents precisely. 3. The name given before a drug becomes official. 4. The name used by the drug manufacturer.
A client diagnosed with pulmonary edema has a PaCO2 of 72 mm Hg and an oxygen saturation of 84%. What method of oxygen delivery would best meet the needs of this client?
A) Intubation and mechanical ventilation B) Face mask with nonrebreather C) Oxygen cannula at 6 L/minute D) Venturi mask at 35%
You are preparing to discharge a patient home. During your discharge teaching you realize that the patient is not able to read the medication bottles and has not been taking her medications at home
How would you intervene appropriately in this situation? A) By asking the social worker to investigate nursing home placement B) By asking the social worker to investigate community support agencies C) By informing that patient that surgery will correct the vision problem D) By informing the patient that she will need to go to a rehabilitation facility for vision training
Which nursing intervention below is part of the scope of an advanced practice psychiatric/mental health nurse only?
a. Coordination of care b. Health teaching c. Milieu therapy d. Psychotherapy