The nurse is planning a refeeding program for a patient diagnosed with cachexia from AIDS. Which nursing interventions are indicated?
1. Encourage the patient to eat as much as possible during each meal.
2. Initiate feeding as half of goal rate.
3. Limit the patient's intake of fluids so to encourage a normal appetite.
4. Establish baseline phosphorus, potassium, and magnesium levels.
Answer: 4
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When caring for a client requiring the use of arm restraints to prevent the client from self-harm, the nurse would perform which of the following implementations?
1. Assess the need for restraints every 24 hours. 2. Remove the restraints for five minutes every four hours. 3. Perform ROM on the restrained limbs once a shift. 4. Offer food, fluid, and toileting every two hours.
A client asks the nurse, "What would be the best way to get pregnant?" The nurse would incorporate which of the following in the response?
A) Conception is more likely in the presence of orgasm. B) Conception is more likely if the sperm has just been ejaculated. C) The timing of intercourse and conception affects the sex of the pregnancy. D) Conception is more likely when intercourse occurs within 72 hours of ovulation.
The nurse is scheduling a patient for an external cephalic version (ECV). Which finding in the patient's chart requires immediate intervention?
1. Multip, previous birth by cesarean 2. Primip, frank breech ballotable 3. Multip, 37 weeks, complete breech 4. Primip, failed ECV last week
The patient has had both surgery and chemotherapy for a fast growing cancer in his stomach. What are some of the adverse effects that might develop from chemotherapy?
A. anorexia, nausea, vomiting, diarrhea B. sore mouth and tongue, bad odor to breath C. gastric reflux, intense hunger, burping D. signs of infection around the surgical incision