The nurse is implementing nutritional changes to reduce the risk for skin breakdown in a client with impaired physical mobility. Which dietary modifications will the nurse reinforce? (Select all that apply.)
a. High-protein
b. Low-protein
c. High-carbohydrate
d. Low-carbohydrate
e. High-fat
f. Low-fat
A, C, F
The goal of nutrition therapy is to provide sufficient nutrients to promote wound healing, prevent skin breakdown, and avoid gaining excessive weight. The two most important nutrients to sti-mulate cell division and prevent loss of muscle mass are carbohydrates and proteins.
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The RN assigned a new nurse to a client who was receiving chemotherapy through an intravenous extension set attached to a Huber needle. Which information about disconnecting the Huber needle is most important for the RN to provide to the new nurse?
a. "Apply topical anesthetic cream to the area after discontinuing the system." b. "Be aware of a rebound effect when discontinuing the system." c. "Be sure to flush the system with saline after removing the Huber needle." d. "Place pressure over the site to prevent bleeding."
Which statement by a patient with chronic heart failure indicates to the nurse that more teaching is needed?
A) "The disease will be marked by periods of exacerbations." B) "I will need to make lifestyle modifications to control the disease." C) "If I follow strict self-care, I can cure the disease." D) "Any type of stress can cause a worsening of the disease."
A cholinergic drug is prescribed for a patient. The nurse checks the patient's medical history, knowing that this drug is contraindicated in which disorders? (Select all that apply.)
a. Bladder atony b. Gastrointestinal obstruction c. Bradycardia d. Alzheimer's disease e. Hypotension f. Chronic obstructive pulmonary disease
A nurse is conducting a physical examination of a 5-year-old with suspected iron deficiency anemia. How would the nurse evaluate for changes in neurologic functioning?
A) "Please open your mouth; I am going to look inside your cheeks and lips." B) "Do you have any bruises on your feet or shins?" C) "Will you please walk across the room for me?" D) "Let me see the palms of your hands and soles of your feet."