Which client is appropriate for an enteral tube feeding?
a. client with two bro-ken wrists c. healthy but under-weight elderly adult
b. client undergoing chemotherapy d. client with multiple sclerosis
B
Enteral feedings become necessary to meet nutritional requirements in the absence or decrease in oral intake. Enteral feeding preserves integrity of the GI tract along with the body's normal metabolic processes when a client is not able to consume food orally. Clients with a variety of conditions may require enteral tube feedings, for example, clients undergoing chemotherapy, oropharyngeal and esophageal problems where clients are unable to swallow, clients with severe depression and gastrointestinal problems.
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A nurse prepares to administer antipsychotic medication to a patient with schizophrenia. Additional monitoring for adverse effects will be most important if the patient is also has which health problem? Select all that apply
a. Diabetes b. Parkinson's disease c. Osteoarthritis d. Grave's disease e. Epilepsy
Which nursing intervention is likely to be most helpful in providing adequate nutrition while a client is recovering from a thermal burn injury?
a. Allowing the client to eat whenever he or she wants b. Beginning parenteral nutrition high in calories c. Including 3000 kcal/day of calories with meals d. Providing a low-protein, high-fat diet
The client, a 45-year-old woman, has acromegaly as a result of a pituitary adenoma found and removed when she was 16 years old
During a physical assessment before surgery for a knee replacement, the nurse discovers that she has a moderately enlarged liver. What is the nurse's best action? A. Counsel the client on the health risks of alcoholism. B. Determine whether the client is jaundiced. C. Document the finding as the only action. D. Request liver function blood tests.
Which is the most appropriate intervention for the parents of a 6-year-old child with precocious puberty?
a. Advise the parents to consider birth control for their daughter. b. Explain the importance of having the child foster relationships with same-age peers. c. Assure the child's parents that there is no increased risk for sexual abuse because of her appearance. d. Counsel parents that there is no treatment currently available for this disorder.