A patient presents to an ambulatory care clinic complaining of a lack of energy and tiredness. One of several assessments the nurse wants to make is a diet history
To perform a home diet history the nurse instructs the patient to keep a journal of: A. all food for the last 5 days.
B. only solid food for 3 days.
C. all food for 3 days, including weekends.
D. only solid food for 3 days, including weekends.
C
The home diet history is conducted over a 3-day period of time, including a weekend day. All food ingested is measured.
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A seven-year-old child is admitted in sickle-cell crisis. The nurse is concerned with reducing the child's pain
Recognizing that any activity that reduces the sickling will reduce the pain, nursing activities will include: Standard Text: Select all that apply. 1. Administration of narcotics. 2. Administration of NSAIDs. 3. Cold application. 4. Encouraging oral fluids. 5. Maintaining bed rest.
Tosha is 2-and-a-half years old. Her mother asks you when it is safe to put Tosha in a car seat facing the front of the vehicle. You respond:
A) "When Tosha is able to sit up without assistance." B) "When she is 27 inches tall." C) "It is too dangerous to have the car seat facing forward." D) "Safety seats should never face forward unless there are safety locks."
When obtaining subjective assessment data, the nurse recognizes which of the following client scenarios as being the most likely to produce accurate, credible information?
1. A 50-year-old in the ED reporting chest pain 2. A 70-year-old admitted with fever of unknown origin 3. A 81-year-old receiving follow-up treatment for a hip replacement 4. A 22-year-old being treated at a clinic for a sexually transmitted disease
Of the following patients, who is at the greatest risk for fluid volume deficit?
A. 4-month-old infant with an intractable fever of 103.2° F B. 17-year-old adolescent with gastroenteritis C. 28-year-old woman with Crohn disease D. 63-year-old man with diverticulitis