After assessing a patient with a stage II pressure ulcer, a nurse verifies that the patient is on a diet that will enhance healing. This patient's diet is
1. High carbohydrate, low calorie.
2. High protein, high calorie.
3. Low protein, high calorie.
4. Low carbohydrate, high calorie.
ANS: 2
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A 50-year-old woman presents at the clinic with complaints of recent episodes of forgetfulness and "jerky" head movements
She states her mother had some kind of illness in which she had to be institutionalized at age 42 and passed away at age 45. She stated, "My mother forgot who we were when she was institutionalized." Based on this information, what does the nurse suspect? A) Huntington disease B) Schizophrenia C) Cerebrovascular accident D) Alzheimer's disease
The nurse is providing care to a client diagnosed with bipolar disorder. The client's family asks the nurse what this is. Which response by the nurse is appropriate?
A) "Bipolar disorder is a type of depression that includes attention deficit disorder symptoms." B) "Bipolar disorder means there are cycles of depression as well as hyperactivity, or mania." C) "Bipolar disorder just means that the mood alternates with the seasons, and it becomes worse in the winter." D) "Bipolar disorder is just another type of depression, except depression occurs in cycles."
Following a nephrectomy, which assessment finding is most important in determining nursing care for the client?
A) Urine output of 35 to 40 mL/hour B) Pain of 3 out of 10, 1 hour after analgesic administration C) SpO2 at 90% with fine crackles in the lung bases D) Blood tinged drainage in Jackson-Pratt drainage tube
Because children younger than 5 years are egocentric, the nurse should do which when communicating with them?
a. Focus communication on the child. b. Use easy analogies when possible. c. Explain experiences of others to the child. d. Assure the child that communication is private.