The nurse is caring for a 30-year-old client who runs four miles a day five days a week. The client complains of fatigue and of not having the energy to carry out daily activities
A priority teaching point for this client would be which of the following? 1. Increase intake of lean meats and beans.
2. Drink 10 8-ounce glasses of water a day.
3. Increase complex carbohydrates.
4. Decrease fat intake.
3
Rationale: The body needs complex carbohydrates to meet its energy needs. The client who exercises regularly should increase the intake of complex carbohydrates to maintain energy levels. Water will not increase energy in the body, although it plays an important role in the body. The second source of energy for the body is fat. The client who has high energy needs should take in enough quality fat to help the body meet its energy needs. Protein is needed to build and repair cells, and can be a source of energy, but is not the best source.
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The nurse is providing care for the client who is to undergo a pelvic ultrasound. The nurse should instruct the client to:
1. lie on the right side. 2. empty the bladder. 3. avoid alcohol for 24 hours prior to the procedure. 4. drink extra fluids and not void prior to the procedure.
The informatics nurse wants to find information to support a proposed change to the electronic health record. Which action should the nurse take first?
A) Perform a Google search. B) Search the National Library of Medicine. C) Enter the search term into the Medline database. D) Access the Cochrane Database of Systematic Reviews.
The nurse is caring for an 8-month-old infant. Which of the following is the best tool the nurse should use for evaluating pain in this infant?
A) FLACC scale B) Wong-Baker FACES C) Visual analog scale D) Any of the above
The nurse is caring for a child diagnosed with Legg–Calvé–Perthes disease. Which intervention would be most important for the nurse to include when working with this child and caregivers?
A) Provide information when the child or caregiver requests it B) Identify a contact person when the child is hospitalized C) Restrict activity during the treatment D) Help the caregivers to understand and the child to effectively use the corrective devices