Which menu selection made by the client with vitamin B12 deficiency anemia demonstrates adequate understanding of dietary management for this problem?
A. Fried liver and onions, orange juice, spinach salad
B. Baked chicken breast, boiled carrots, glass of white wine
C. Eggplant Parmesan, cream-style cottage cheese, iced tea
D. Whole-grain pasta with cheese, apple sauce, glass of red wine
A
Organ meats and leafy green vegetables have the highest content of vitamin B12 . Dairy products are deficient in vitamin B12 .
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The nurse leader finds the laissez faire leadership style works best with the team that:
1. Is self-motivated and highly skilled. 2. Does not like to be tightly supervised. 3. Has a mix of experience and education. 4. Needs a lot of direction and instruction.
The nurse has designed a treatment plan that includes the use of massage. Which intervention will the nurse implement first?
a. Assess the client to determine the most effective type of massage technique to use. b. Inspect the skin over the tissue to be mas-saged to ensure that it is not infected or bruised. c. Determine whether a licensed therapist will be needed to carry out the massage technique d. Obtain permission from the client to im-plement this type of technique.
After classroom discussion regarding confidentiality policies and laws protecting client records, a student asks why it's permissible for them to review and have access to client records in the clinical area. How should the nursing instructor respond?
1. "Confidentiality and privacy laws don't apply to students." 2. "Most students review so many records and charts that they could not possibly remember details from any one of them." 3. "Records are used in educational settings and for learning purposes, but the student is bound to hold all information in strict confidence." 4. "As long as the clinical instructor is in the area, accessing client records is part of the education process."
In a patient with an obstruction pulmonary disease, what change is seen on a pulmonary function test?
a. Increased tidal volume (TV) b. decreased residual volume (RV) c. Decreased forced expiratory volume after 1 sec (FEV1) d. decreased total lung capacity (TLC)