The nurse is performing a nutritional assessment with a client. Which question should the nurse ask during a diet recall activity?
a. "Was the fish fried?"
b. "What did you eat for lunch?"
c. "What dietary supplements do you take each day?"
d. "Compared to this container, how big was your glass of chocolate milk?"
d. "Compared to this container, how big was your glass of chocolate milk?"
It is important to be open-minded when assessing a patient. It is not appropriate to assume that they ate any meal. Hinting at a correct answer, such as asking "What did you have for lunch?" when the person may have skipped lunch, or appearing to judge a patient can lead to fabricated answers and other misreporting. The nurse should be self-aware of body language, word choices, and tone of voice. The client should be gently prompted. The nurse should clarify what a dietary supplement is and ask questions about their use by this client. The client should be asked how the item was prepared and not given options about which way the food item was prepared. The nurse cannot assume information about serving sizes.
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A chronic renal failure client complains of generalized bone pain and tenderness. Which assessment finding would alert the nurse to an increased potential for the development of spontaneous bone fractures?
A) Elevated serum creatinine B) Hyperkalemia C) Hyperphosphatemia D) Elevated urea and nitrogen
The client's heart rate increases slightly during inspiration and decreases slightly during expiration. What action does the nurse take?
a. Evaluate for a respirator disorder. b. Assess the client for chest pain. c. Document the finding in the chart. d. Administer antidysrhythmic drugs.
The client is ordered paregoric 10 mL PO prn after loose bowel movement, maximum 4 times daily. The strength of this antidiarrheal drug is 2 mg/5 mL. How many milligrams will the patient receive per dose? Round to the nearest whole number
What will be an ideal response?
While conducting a home visit with a client who had a partial resection of the ileum for Chron's Disease 4 weeks previously, a nurse becomes concerned when the client states:
A. My stools float and seem to have fat in them. B. I have gaiend 5 pounds since I left the hospital. C. I am still avoiding milk products. D. I only have