During the routine medical examination of a 5-year-old client, the client's parents ask
the nurse for suggestions regarding a nutritious diet for their child. What suggestion
should the nurse provide?
A) Provide a maximum of 500 milligrams of cholesterol daily
B) Encourage the child to learn by himself about good food choices
C) Instruct the parents to provide only 10% of calories from fat
D) Instruct the parents to introduce new foods in small servings
D
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The nurse is assessing the patient's cane for appropriate length. The nurse affirms that the appropriate cane has been selected when the:
a. hand grip is at the level of the hip. b. elbow is flexed at 45 degrees when weight is placed on the cane. c. cane tip is placed touching outside the good foot. d. rubber tip has been removed when mea-suring cane length.
The nurse observes signs that a client may be experiencing dysfunction related to the vestibular branch of his acoustic nerve (CN VIII). In order to minimize the client's risk for injury, the nurse should:
1. Identify the client as a "fall risk.". 2. Assess the client's gag reflex prior to offering food or liquids. 3. Apply an "eye bubble" to the client at bedtime. 4. Assess the client's vision using a Snellen chart.
A patient comes to you because she is experiencing a tremor only when she reaches for things. This becomes worse as she nears the “target.” When you ask her to hold out her hands, no tremor is apparent. What type of tremor does this most likely represent?
A) Intention tremor B) Postural tremor C) Resting tremor D) Nervous tremor
Which class of drugs would the nurse expect to be prescribed to a client who is bleeding excessively at a surgical site?
1. Thrombolytics 2. Antifibrinolytics 3. Anticoagulants 4. Prothrombin activators