The pregnant patient at 23 weeks' gestation has a hemoglobin of 9.5. Which diet choice indicates that teaching has been effective?
1. Tofu with mixed vegetables in curry, milk, and whole-wheat bun
2. Roast beef, steamed spinach, tomato soup, and orange juice
3. Pork chop, mashed potatoes and gravy, cauliflower, and tea
4. Broiled fish, lettuce salad, grapefruit half, and carrot sticks
2
Rationale 1: This diet is high in calcium. The patient has iron-deficiency anemia, and requires a high-iron diet.
Rationale 2: This patient is anemic and needs iron. This meal contains iron in the beef, folic acid in the spinach, and vitamin C in the tomato soup and orange juice. Vitamin C helps absorption of the iron; folic acid is needed for production of red cells.
Rationale 3: The patient has iron-deficiency anemia, and requires a high-iron diet. This meal has a moderate amount of protein, but no vitamin C to help with iron absorption.
Rationale 4: The patient has iron-deficiency anemia, and requires a high-iron diet. This meal is high in fiber, low in fat, and moderately high in protein, but low in iron.
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A nurse is participating in primary prevention efforts directed against cancer. In which activities is this nurse most likely to engage? (Select all that apply.)
a. Demonstrating breast self-examination methods to women b. Instructing people on the use of chemoprevention c. Providing vaccinations against certain cancers d. Screening teenage girls for cervical cancer e. Teaching teens the dangers of tanning booths
Between the ages of __________ years, the greatest amount of sexual activity with multiple partners and serial relationships occurs
a. 13 and 17 b. 18 and 24 c. 25 and 34 d. 35 and 44
Unrest on the nursing unit has progressed to moral outrage among the nursing staff. Which statements made by the nurse manager to the chief nursing officer indicates an understanding of this issue?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I am concerned that the quality of care we are providing will reduce if this unrest continues." 2. "We may experience turnover in staff positions if this tension continues." 3. "I think we need to hire some more unlicensed personnel to shift the direct patient care work off the registered nurses." 4. "This will be a good opportunity to get rid of the unit trouble-makers." 5. "I am going to try to divert this energy by asking the nurses to help rewrite the policy and procedures manual."
The nurse has applied an occlusive dressing to a stage 1 pressure injury and knows that this type of dressing assists in debridement of the wound in which way?
A. It mechanically debrides the wound. B. Enzymes are applied to the wound to remove necrotic tissue. C. The dressing maintains a moist environment that uses the body's own enzymes. D. The dressing dries the injury environment, which encourages sloughing of the injured tissue.