A patient has carbon dioxide retention from lung problems. Which type of diet will the nurse most likely suggest for this patient?
a. Low-carbohydrate
b. Low-caffeine
c. High-caffeine
d. High-carbohydrate
ANS: A
A low-carbohydrate diet is best. Diets high in carbohydrates play a role in increasing the carbon dioxide load for patients with carbon dioxide retention. As carbohydrates are metabolized, an increased load of carbon dioxide is created and excreted via the lungs. A low- or high-caffeine diet is not as important as the carbohydrate load.
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The nurse is reviewing the patient's medication prior to the medication pass and realizes that gemfibrozil (Lopid) and warfarin (Coumadin) are to be administered concomitantly. This finding concerns the nurse, who is aware that the _______ will be _______
a. level of gemfibrozil; increased b. level of gemfibrozil; reduced c. anticoagulant effects; increased d. anticoagulant effects; reduced
A mother brings her child into the clinic and states, "My child has had a fever the past few days because the skin has felt warm." Which response should the nurse provide the mother?
A. "The skin temperature changes when the temperature in our surroundings changes." B. "The only way to reliably assess the temperature with your hand is by feeling the forehead." C. "The temperature of the skin is not related to what is occurring inside the body." D. "When the skin feels warm, it means our blood vessels are constricted."
When developing a teaching plan for a migrant family with members who are infected with tuberculosis, the nurse should not incorporate which of the following principles?
A. patients must recognize a need to learn the information presented B. patients are often unwilling to meet on an ongoing basis; therefore information should be presented in one meeting C. an effective teaching plan will increase patient compliance D. a variety of teaching skills may be needed at different times for the same patient
A nursing educator in a large, tertiary care hospital is teaching a group of nursing students about assessment techniques for differentiating between dementia and delirium. Which of the following statements about delirium is most accurate?
A) A patient's risk of developing delirium is directly related to his or her coping ability. B) Delirium must be differentiated from dementia because the two disorders do not coexist. C) Inpatient treatment is often the trigger that initiates an individual's dementia. D) A majority of elderly patients experience some form of delirium during inpatient treatment.