The nurse in the ICU is assigned to care for a patient with septic shock. What nursing interventions are necessary to prevent malnutrition and optimize cellular function in this patient?
A) Administration of crystalloid solutions IV
B) High calorie, low protein diet
C) Enteral feedings
D) Administration of multivitamins in the IV fluid
C
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The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the nurse reports this as a:
a. Bulla. b. Wheal. c. Nodule. d. Papule.
Which symptom experienced by a woman in her 20s alerts the nurse to the possibility of endometriosis?
a. Bleeding between periods b. Cessation of menstruation c. Premenstrual tension headache d. Pain before the onset of menstrual flow
A PHN is conducting a community assessment. Which of the following is the best example of this action?
a. Visiting an elderly person at home to as-sess and evaluate safety and fall risk b. Developing diagnoses to identify nursing interventions at a health clinic c. Evaluating services at an immunization clinic where a translator provides services d. Compiling recent data from the county health department on child abuse cases
Touching is often culture related. Nurses must touch clients to perform treatments; however, they need to remain aware that taboos are also involved. The nurse touches a child on the head to examine the head for a possible lice infestation
The mother is very upset by the nursing action. Which culture believes that touching a child on the head is a sign of disrespect and is believed to cause illness? A) Europeans B) Asian C) Hispanic D) Mediterranean