The nurse instructs a client about the need to limit the intake of saturated fats. Which diet selection by the client indicates that teaching has been effective?
a. Macaroni and cheese
b. Beef taco with refried beans
c. Peanut butter and jelly sandwich
d. Bacon, lettuce, and tomato sandwich
c. Peanut butter and jelly sandwich
A peanut butter and jelly sandwich has some fat from the peanuts, but it is not saturated fat, so it is a good choice for the client. Bacon has saturated fat (solid at room temperature) as does the cheese. Beef has saturated fat and refried beans are made with lard, another saturated fat.
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A nurse assesses a client who is prescribed 5-fluorouracil (5-FU) chemotherapy intravenously for the treatment of colon cancer. Which assessment finding should alert the nurse to contact the health care provider?
a. White blood cell (WBC) count of 1500/mm3 b. Fatigue c. Nausea and diarrhea d. Mucositis and oral ulcers
When nurses assess clients, it is essential that they include questions about:
a. life goals b. the use of herbal and vitamin supplements c. experiences with therapeutic touch d. visits to reflexologists
The nurse performs a vaginal examination to determine labor progress. She notes that the FHR, as indicated on EFM, rises approximately 30 beats/minute above baseline for about 60 seconds. The nurse recognizes that:
a. This is a normal response of the fetus to the vaginal examination and requires documentation only. b. This is an early sign of fetal infection and should be reported to the health care provider. c. The laboring woman must be getting a fever to cause the FHR to rise like that. d. This is an indication that the fetus may have a nuchal cord.
A nurse is working in collaboration with a group of health care providers in a community clinic setting
They have defined a problem and now are focusing on objectives and considering various viewpoints presented by the group. Which collaboration competency is this nurse demonstrating? 1. Mutual respect 2. Trust 3. Communication 4. Decision making