List each lab value that suggests a nutritional deficiency. Identify the nutritional deficiency in each case and explain how the circumstances in Mr. D's history contributed to each deficiency
Hgb, Hct, MCV, and MCHC indicate possible protein/iron deficiency. Serum Alb and TLC indicate protein deficiency. All of the above could also indicate severe energy deficiency.
Cr is 0.9 mg/dL. A low Cr frequently indicates a lack of lean body mass. With severely decreased somatic protein, there is not enough muscle to produce a higher level of Cr. This is the case with Mr. D. The circumstances involved with this include: 1) Anorexia, probably due to lack of taste, depression, and excessive medicines. 2) Improperly fitting dentures. 3) Lack of a soft diet.
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The nurse is interviewing a Native American client who acknowledges seeing "spirits." Which of the following actions will be most important for the nurse to take to assist in assessing this client's symptoms?
1. Carefully question the client's family to prevent aggravating this symptom. 2. Observe the client's behavior to determine how the client expresses this symptom. 3. Consult the physician regarding how best to evaluate this symptom. 4. Obtain a profile of the client's cultural norms on which to interpret this symptom.
A 35-year-old woman is diagnosed with a peripheral neuropathy. When making her plan of care, the nurse knows to include what in patient teaching? (Mark all that apply.)
A) Inspect the lower extremities for skin breakdown B) Footwear needs to be accurately sized C) This disease has a genetic component D) Assistive devices may be needed to reduce the risk of falls E) Ask others for assistance
Write the following number as an improper fraction: 8 5/6
1. 53/6 2. 40/6 3. 53/8 4. 45/6
A nurse manager recognizes that systems theory identifies that there is a social component within an organization that affects the overall functioning of the system
What indicator would demonstrate to the nurse manager that the social needs of an organization are being met? a. Most employees from the organization attend an annual holiday celebration. b. Separate eating areas for each discipline are set up in the cafeteria. c. Nurse managers are planning to move to a centralized area away from the care units. d. The summer softball teams are canceled due to lack of interest.