A patient has received a diagnosis of gastric cancer and is awaiting a surgical date. During the preoperative period, the patient should adopt what dietary guidelines?
A) Eat small, frequent meals with high calorie and vitamin content.
B) Eat frequent meals with an equal balance of fat, carbohydrates, and protein.
C) Eat frequent, low-fat meals with high protein content.
D) Try to maintain the pre-diagnosis pattern of eating.
Ans: A
Feedback:
The nurse encourages the patient to eat small, frequent portions of nonirritating foods to decrease gastric irritation. Food supplements should be high in calories, as well as vitamins A and C and iron, to enhance tissue repair.
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A 32-year-old woman is at the clinic for "little white bumps in my mouth." During the assessment, the nurse notes that she has a 0.5 cm white, nontender papule under her tongue and one on the mucosa of her right cheek
What would the nurse tell the patient? a. "These spots indicate an infection such as strep throat." b. "These bumps could be indicative of a serious lesion, so I will refer you to a specialist." c. "This condition is called leukoplakia and can be caused by chronic irritation such as with smoking." d. "These bumps are Fordyce granules, which are sebaceous cysts and are not a serious condition."
Complete documentation is essential and must include an accurate picture of the type and quality of care given, as well as the effectiveness of the plan of care. The model that provides this is the:
a. caretaker. b. nursing process. c. home health care. d. nursing efficiency.
A nurse is preparing to administer an antibiotic to a patient with methicillin-resistant Staphylo-coccus aureus (MRSA). The nurse would expect the healthcare provider to order which antibiot-ic?
a. Daptomycin [Cubicin] b. Levofloxacin [Levaquin] c. Norfloxacin [Noroxin] d. Ciprofloxacin [Cipro]
An older resident of a nursing home reports to the nurse that during the night someone entered her room and stood by the window watching her. She expresses fear of going to sleep. What action is most appropriate for the nurse to take initially?
a. Reassure her that there was no one in her room and that she must have been dreaming. b. Request a psychiatric consult to evaluate her for cognitive problems. c. Assess the environment in her room to see if there is anything that could be confusing her. d. Suggest to her that she request sleeping medication every night.