When developing a plan of care for a patient with altered nutritional needs, the nurse must assess the patient for which of the following? (Select all that apply.)
a. What is the condition now?
b. Is the condition stable?
c. Will the condition get worse?
d. Will the disease process accelerate deterioration?
e. Which single objective measure will predict the course of action?
A, B, C, D
Nutritional screening tools must gather data based on four main principles: What is the condition now? Is the condition stable? Will the condition get worse? And will the disease process accelerate nutritional deterioration? Using a single objective measure is ineffective in predicting risk of nutritional problems.
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1. A gravida with intrauterine growth restriction 2. A gravida with mild hypertension of pregnancy 3. A gravida who is post-term 4. A gravida who complains of decreased fetal movement for two days
The maintenance of good, thorough documentation and a decision trail is especially critical in which of the following?
A) Member checks B) Stepwise replications C) Negative case analysis D) Inquiry audits
A patient is admitted to the coronary care unit from the emergency department after initial management of STEMI. A primary percutaneous coronary intervention has been performed
The nurse notes an initial heart rate of 56 beats per minute and a blood pressure of 120/80 mm Hg. The patient has a history of stroke and a previous myocardial infarction. Which order will the nurse question? a. Aspirin b. Beta blocker c. Clopidogrel d. Heparin
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