A nurse is a member of a local support group that counsels on relationships. Which client should the nurse identify as one with the lowest priority to be concerned about meaningful relationships?
A) A person who volunteers in the community
B) A homeless person
C) A person with a fractured limb
D) A working professional
B
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The nurse is caring for a client who has no cough or gag reflex and is unable to take nutrients orally. Which device would be an appropriate choice for providing nutrition to this client?
1. A nasogastric tube 2. An orogastric tube 3. A nasoenteric tube 4. A jejunostomy tube
An older aphasic client has severe osteoarthritis, bilateral contractures of the lower extremities, and a stage IV pressure ulcer
The nurse practitioner prescribes analgesic medications to be administered around-the-clock, with as-needed doses to be administered as appropriate. What observation by the nurse would indicate that the pain regimen is effective? (Select all that apply.) a. "Client slept throughout the night." b. "Client winces only when turned and re-positioned." c. "Client slept during dressing change." d. "Client cooperative during morning care." e. "Client ate 80% of breakfast, 70% of lunch, and 100% of dinner."
When the pregnant diabetic experiences hypoglycemia while hospitalized, the nurse should have the patient
a. Eat 6 saltine crackers. b. Drink 8 oz of orange juice with 2 tsp of sugar added. c. Drink 4 oz of orange juice followed by 8 oz of milk. d. Eat hard candy or commercial glucose wafers.
A client with a T tube following choledochostomy asks the nurse why the tube is being clamped during mealtimes. The most accurate response by the nurse is
a. "It causes less pain during mealtime." b. "It helps keep the common bile duct patent." c. "It helps with digestion of fats in the meal." d. "It will help the tube to come out more quickly."