The nurse notes that a client who has been a resident at a rehabilitation facility has lost 11 pounds since admission 4 weeks ago. The client goes to physical therapy twice daily
Interventions that are appropriate for this client to maintain adequate nutrition include:(Select all that apply) Standard Text: Select all that apply. 1. Mild pain medication prior to meal time
2. Assisting the client with positioning for meal times
3. Bringing new foods to the client at meal times
4. Heating the room at meal times
5. Assisting the client to the bathroom prior to meal times
1,2,5
Rationale: Physical discomfort or pain may depress a client's appetite; non-sedating medication would be appropriate prior to meal times
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A client is complaining of frequent headaches, chest tightness, palpitations, and menstrual irregularities. The client also reports having lost weight and experiencing difficulty eating and sleeping
The nurse notes that the client is tearful, sad, and lacks energy. Which question is most appropriate when assessing the source of the client's symptoms? A) "Can you tell me why you are so sad?" B) "Have you experienced a loss of a loved one recently?" C) "How long have you been grieving?" D) "Why are you crying so much?"
A client experiencing situational depression over the loss of a spouse is overwhelmed with having to close her spouse's business, settle finances, and figure out a way to survive financially
Which of the following can the nurse do to help this client? 1. Suggest that the client attend group therapy with a grief counselor 2. Ask if the client can move in with parents 3. Help the client focus on strengths and prioritize things that need to be accomplished 4. Investigate whether the spouse had life insurance and what income the client can expect
A client admitted to the emergency department for vaginal bleeding is surprised to find she is in the third trimester of pregnancy
An ultrasound determines the fetus is not viable. The nurse recognizes that which drug could be responsible for the fetal demise? 1. Selective serotonin reuptake inhibitors (SSRIs) 2. Fluoroquinolone 3. Acetaminophen 4. Nonsteroidal anti-inflammatory drugs (NSAIDs) 5. Angio-converting enzyme inhibitor (ACE inhibitor)
A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?
a. 7 year old with a bleeding disorder b. 21 year old with a sprained ankle c. 35 year old with a severe headache from hypertension d. 62 year old with a high fever from an infection