A nurse is assisting with development of menu items at a long-term care facility. Which of the following menus would the nurse most likely recommend?
a. One egg over easy, one slice of whole wheat toast with sugar-free jam, 4 oz orange juice
b. 5-oz cheeseburger cooked medium well with lettuce and tomato, 10 baked potato chips, and 1 cup of decaf coffee with low-fat milk and artificial sweetener
c. Chef salad with 2 oz each ham and turkey, lettuce, tomato, bean sprouts, onion, green pepper with low-fat dressing, and one small roll with low-fat spread
d. Turkey bacon, lettuce, and tomato sandwich on whole wheat bread with two teaspoons of low-fat mayonnaise, 10 vegetable chips, and ice tea with artificial sweetener
Answer: d. Turkey bacon, lettuce, and tomato sandwich on whole wheat bread with two teaspoons of low-fat mayonnaise, 10 vegetable chips, and ice tea with artificial sweetener
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The LVN/LPN is preparing to administer insulin to a patient with diabetes. What should the nurse assess prior to administering the insulin?
a. Blood pressure b. Blood glucose c. Heart rate d. Temperature
Which of the following are often seen in the perpetrators of abuse? (Select all that apply.)
a. Always older than the victim b. Uses illicit drugs or alcohol c. Recently experienced a stressful event such as unemployment d. Needs to control another person e. Promises not to abuse again f. Experienced abuse in their own childhood
The nurse is assisting a multiparous postpartum woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak
Which is the priority nursing action? 1. Assist the client to empty her bladder. 2. Help the client back to bed to check her fundus. 3. Assess her blood pressure and pulse. 4. Begin an IV of lactated Ringer infusion.
Loss of the pulse in an extremity is an early sign of compartment syndrome.
Answer the following statement true (T) or false (F)