The patient has just been admitted to the intensive cardiac care unit. Who should assess and document the patient's nursing needs?
1. The admitting physician
2. A licensed practical or vocational nurse
3. A registered nurse
4. The nursing assistant
3
Rationale: Documentation of admission assessment and nursing needs is the role of the registered nurse. Information may be collected by the nursing assistant or licensed practical or vocational nurse to assist the RN in making patient care decisions. The physician plans medical care, not nursing care.
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When assessing a client who is considered vulnerable, which is a priority before beginning the assessment process?
A. Awareness of own cultural beliefs. B. Review of the health history. C. Review of psychosocial history. D. Awareness of other races.
A client with chronic alcoholism asks the nurse why they should take folic acid. Which response should the nurse provide the client?
A. "The alcohol decreases your folic acid level." B. "The alcohol interferes with folate metabolism in the liver." C. "The folic acid will improve your vitamin B12 deficiency." D. "Your dietary intake of folic acid is decreased when you drink alcohol." E. "The folic acid can help reverse some of the liver damage that has occurred from the alcohol abuse."
A source of energy (4 kcal/g).
A. Fat-soluble vitamins B. Proteins C. Monounsaturated fatty acids D. Polyunsaturated fatty acids
When doing a nutritional assessment on an Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet:
a. Indicates that they live in poverty. b. Is lacking in protein. c. May provide sufficient amino acids. d. Should be enriched with meat and milk.