The nurse is admitting a client with burns over 60% of the body. What would be the best type of nutrition for this client?
A) Oral nutrition
B) Oral nutrition with a liquid supplement
C) Parenteral nutrition
D) Enteral nutrition
D
Feedback:
EN is used over PN, unless the EN is contraindicated. PN is used with extreme caution due to the increased risk of infection.
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What is the correct method for turning an adult patient who recently sustained a spinal cord injury?
a. Ask the patient to assist with the turn by holding the siderails of the bed. b. Place a draw sheet under the patient to assist with turning. c. Request help from another nurse to perform the logrolling technique. d. Use a mechanical lift for safe turning and protecting the nurse's back.
The nurse suspects that an infant has a visual disorder caused by abnormal musculature. To detect this disorder, the nurse would perform:
1. A cover/uncover test. 2. An ophthalmologic exam. 3. A vision acuity exam. 4. A pupil-reaction-to-light test.
Which of the following interventions best reflects the nurse's understanding of direct care inter-ventions regarding a cognitively impaired client's need for social interaction?
1. Arranging for the client to attend a "sing along" in the dayroom 2. Helping the client place a long distance telephone call to his daughter 3. Turning the client's television on when his or her favorite program is playing 4. Talking about the client's favorite sport's team while redressing his or her wound
The nurse prepares to administer a vitamin K injection during the admission assessment for a newborn. The father asks, "Why does my baby need a shot?" Which rationale for administering this injection should the nurse include in the response?
1. Activates clotting factors 2. Dissolves blood clots 3. Promotes gas exchange 4. Promotes the production of hemoglobin