A patient who has a history of anorexia is brought to the emergency department after passing out at work. Which strategy for refeeding this patient would the nurse anticipate?
1. Immediate placement of an enteral feeding tube
2. Placement of a parenteral feeding line within 24 hours
3. Efforts to stabilize serum electrolytes prior to refeeding
4. Stabilization of BUN and creatinine prior to refeeding
Answer: 3
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During a routine prenatal visit, a client, 36 weeks' pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 and irregular with bilateral crackles in lower lung bases
Which nursing diagnosis would be the priority for this client? A) Ineffective tissue perfusion related to hypotensive syndrome B) Impaired gas exchange related to pulmonary congestion C) Activity intolerance related to increased metabolic requirements D) Anxiety related to fear of pregnancy outcome
While a health history is obtained from a client with a new diagnosis of advanced pancreatic cancer, the client begins to cry. Which is the nurse's best response?
a. "I am so sorry for making you cry!" b. "I will step out for a few minutes until you feel better." c. "I can see that you are upset about this. It is all right to cry." d. "I can see that I am upsetting you. Let's move on to something else."
A school-age child is brought to the emergency department after being hit in the mouth with a baseball bat during Little League. The child has lost two deciduous teeth, and one permanent front tooth is loose
What care should the nurse prepare to provide to this patient? (Select all that apply.) A) Administer prescribed oral antibiotic. B) Wash the deciduous teeth with saline to be wired into place. C) Instruct the parents and the child that the jaw will need to be wired shut. D) Explain that an X-ray may be done to make sure that the jaw was not fractured. E) Explain that a chest X-ray will be done to make sure that other teeth are not in the lungs.
The nurse in the same-day surgical care area is preparing a patient for surgery. What should the nurse do to ensure that this patient has a successful recovery from the surgery?
1. Provide teaching and additional resources to help the patient when at home. 2. Measure intake and output. 3. Assess vital signs. 4. Limit pain control measures since the patient will need to ambulate when leaving after the surgery.