Which client would require additional calories and nutrients?
a. A 36-year-old female gravida 2, para 1, in her first trimester of pregnancy
b. An 18-year-old female who delivered a 7-lb baby and is bottle feeding
c. A 23-year-old female who had a cesarean section birth and is bottle feeding
d. A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding
ANS: D
A client who is breastfeeding will require more calories and nutrients than individuals who are pregnant, delivered regardless of the type of birth, and whether they are bottle feeding.
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A nurse has returned to a patient's hospital room for a follow-up assessment during the intravenous infusion of vancomycin. What assessment finding would signal the nurse to the possibility that the patient's infusion is running too quickly?
A) The patient is flushed and has a visible skin rash. B) The patient's apical heart rate is irregular. C) The patient is difficult to rouse and has dilated pupils. D) The patient complains of pain at the intravenous access site.
A school nurse explains which of the following to a group of students who are concerned about MRSA? Standard Text: Select all that apply
1. The first line of defense is frequent handwashing. 2. Shared sports equipment is a significant source of infection. 3. Infected lesions should be left open to air. 4. Draining and packing wounds is the primary treatment in young, healthy individuals. 5. MRSA organism is colonized in the throat.
Which of the following statements should the nurse include in a presentation to the community regarding mental health care resources for elders?
1. "Better pharmacological treatments have increased the normal life span of individuals afflicted with mental illness." 2. "Medicare coverage will pay for most mental health services provided to elders." 3. "Most elders require frequent hospitalization due to chronic illness and mental disability." 4. "More long-term care facilities are admitting geropsychiatric clients."
Your patient with pancreatitis has a Ranson rule score of 8. The clinician should recognize that this is a risk of:
A. Pleural involvement B. Alcoholism C. High mortality D. Bile duct obstruction