A patient diagnosed with major depression refuses solid foods. In order to meet nutritional needs, which beverage will the nurse offer to this patient?
a. Tomato juice
b. Orange juice
c. Hot tea
d. Milk
ANS: D
Milk is the only beverage listed that provides protein, fat, and carbohydrates. In addition, milk is fortified with vitamins.
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In a patient receiving oxytocin therapy, the nurse identifies tachysystole accompanied by a reassuring FHR. Which of the following steps should the nurse take to minimize adverse effects to the mother and the baby?
A) Stop the infusion of oxytocin immediately B) Administer magnesium sulfate C) Dilute terbutaline with saline and administer the drug D) Place the patient in a lateral position and monitor closely
The nurse is assessing the client and notes on physical exam that the client has an enlarged forehead and protruding jaw. The nurse suspects that the client is experiencing:
1. gigantism. 2. deficient ADH. 3. acromegaly. 4. hypopituitarism.
The nurse is conducting a teaching session with older clients at the community center about the risks for peptic ulcers found with this age group. The nurse includes which of the following information in the session?
1. Peptic ulcer disease (PUD) is likely to be infected with the bacteria H. pylori. 2. PUD in an older client causes less bleeding than in a younger client. 3. The elderly client experiences more severe abdominal pain than a younger client with PUD. 4. Older clients should undergo colonoscopy.
Which step of the nursing process is the most recent addition to the process?
A) Diagnosis. B) Planning C) Implementation D) Evaluation