A physician has ordered, "Clear liquids, advance as tolerated." A nurse identifies that which of the following factors indicate that the patient is not yet ready to advance his or her diet? Select all that apply
1. Hypoactive bowel sounds
2. Nausea
3. Complaints of indigestion
4. Hunger
5. Excessive thirst
ANS: 1, 2, 3
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A student nurse is caring for a patient with type 1 diabetes who also has glycosuria. The nursing instructor asks this student nurse what the patient's urine should look like. What would be the student's best response?
A) Concentrated urine B) Dilute urine C) Elevated specific gravity D) Cloudy urine
The nurse explains that with the continued rise in ammonia levels in the cirrhotic patient, the diet will be modified to restrict:
1. protein. 2. carbohydrates. 3. fats. 4. water-soluble vitamins.
The Rosenbaum card is used to measure:
a. distance perception. b. near vision. c. peripheral distortion. d. the ability to identify colors.
A 5-year-old child with attention deficit hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse's best action?
a. Call for emergency assistance from another staff member. b. Instruct the parents to take the child home immediately. c. Direct this child to stop, and then comfort the other child. d. Take the child into another room with toys to act out feelings.