The nurse is aware that magnesium deficiency is a potential nutritional problem in the United States. What is the cause of this potential problem?

A) Low intake of milk and dairy products
B) Not eating enough citrus fruits in our diet
C) Not drinking enough enriched orange juice
D) The use of refined grains over whole grains


D
Feedback:
A low magnesium intake is related to the intake of refined grains over whole-grain breads and cereals because magnesium is lost during the refining process and not replaced.

Nursing

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A nurse assesses a client who is being treated for hyperglycemic-hyperosmolar state (HHS). Which clinical manifestation indicates to the nurse that the therapy needs to be adjusted?

a. Serum potassium level has increased. b. Blood osmolarity has decreased. c. Glasgow Coma Scale score is unchanged. d. Urine remains negative for ketone bodies.

Nursing

A client realizes that regular use of laxatives has greatly improved his bowel pattern. Why is it important for the nurse to caution him against the prolonged use of laxatives?

A) The client may develop inflammatory bowel disease. B) The client may develop arthritis or arthralgia. C) The client's natural bowel function may become sluggish. D) The client may lose his appetite.

Nursing

A primigravida is admitted to the labor unit with contractions every seven to eight minutes. She is 3 cm dilated, 70% effaced, and at 0 station

She is very anxious, is having difficulty coping with contractions, and states that she did not attend prenatal classes. Which of the following would be the most effective nursing intervention? A. Instruct the client in abdominal breathing and progressive relaxation. B. Instruct the client in patterned paced breathing and touch relaxation. C. Instruct the client in pelvic tilt and pelvic rock exercises. D. Call the physician and request a sedative.

Nursing

Which client in a cardiac step-down unit would the nurse monitor most closely for the development of cerebral vascular accident (CVA) or stroke?

1. An 80-year-old client whose cardiac monitor reveals bradycardia with a rate of 58 2. A 56-year-old client with a PR interval of 0.22 seconds 3. A 37-year-old client with recent-onset atrial fibrillation 4. A 63-year-old client with occasional premature ventricular contractions (PVCs)

Nursing