The nurse has reviewed the assessment findings for a recently admitted client. The nurse notes the client's dietary intake of the vitamin B complex to be lacking
Which of the findings confirm this deficiency? Standard Text: Select all that apply. 1. Loss of fat
2. Muscle wasting
3. Hyporeflexia
4. Spoon nails
5. Ataxia
3,5
Rationale 1: Loss of fat. A series of vitamins make up the vitamin B complex. These vitamins are found in meat products and whole grains. A loss of fat is associated with a deficiency in protein or overall caloric intake.
Rationale 2: Muscle wasting. A series of vitamins make up the vitamin B complex. These vitamins are found in meat products and whole grains. A loss of muscle tissue is associated with a lack of protein intake.
Rationale 3: Hyporeflexia. A series of vitamins make up the vitamin B complex. These vitamins are found in meat products and whole grains. Thiamine is also known as Vitamin B1. It is responsible for nervous system functioning. Thiamine deficiency is associated with hyporeflexia.
Rationale 4: Spoon nails. Spoon nails are noted with a lack of iron intake.
Rationale 5: Ataxia. A series of vitamins make up the vitamin B complex. These vitamins are found in meat products and whole grains. Vitamin B12 is also referred to as Cobalamin. Vitamin B12 deficiencies are associated with ataxia.
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When moisture is added to a heat or cold application, it
A. decreases the effect of the application. B. has no effect on the application. C. intensifies the effect of the application. D. reduces the risk of injury.
The nurse educator is planning various seminars for the staff nurses regarding care of the patient in physical restraints. Which essential nursing interventions will the educator include in the staff seminar? (Select all that apply.)
1. Turn patient every 4 hours. 2. Permit toileting as needed. 3. Assign one-to-one observation. 4. Assess skin integrity every hour. 5. Assess circulation, sensation, and movement every 6 hours.