The nurse is caring for a patient with multiple skin lesions who reports following a very-low-calorie diet to maintain weight loss. What should the nurse identify as the patient's priority problem?
1. inadequate nutritional intake
2. issues with activity
3. tissue perfusion insufficiency
4. risk for self-harm
Correct Answer: 1
A deficit of fats may cause excessive weight loss and skin lesions. There is no evidence that the patient has issues with activity or tissue perfusion. There is no evidence that the patient is at risk for self-harm.
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The exasperated parents of a 4-month-old infant with colic have asked their health care provider what they can do to alleviate their child's persistent crying
Based on their concerns, the nurse should educate/discuss with the parents which of the following? A) Encouraging them to walk away from the infant when they can no longer tolerate it B) Recommending them to reduce the amount of commercial formula and increase breast-feeding C) Discussing the use of prescribed antiflatulent medication that will help more than changing the formula D) Demonstrating how to use a soothing voice and slow rocking back and forth as a way to calm the infant
While providing postmortem care to a patient who has died the patient elicits a respiratory sound when turned. What should the nurse do?
1. Check for a pulse. 2. Reposition the airway. 3. Continue with the postmortem care. 4. Report to the physician the patient is still breathing.
According to Freud, toddlers are in which stage of development?
a. oral c. anal b. phallic d. cerebral
The statements in the introductory paragraphs of a research report that cite results of previous studies about a research problem represent the
a. problem background. b. problem significance. c. problem statement. d. research purpose.