A client has been diagnosed with undernutrition. Which health problem should the nurse consider as most likely contributing to this nutritional issue?
a. Problem swallowing
b. Too much body fluid
c. Sadness and depression
d. Difficulty voiding urine
a. Problem swallowing
The client with a problem swallowing would have difficulty taking in adequate amounts of food to maintain nutritional status. Too much body fluid would cause overhydration. Difficulty voiding urine would contribute to overhydration. Sadness and depression may reduce the appetite and reduce food intake however the most likely reason for undernutrition is the problem with swallowing.
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Rank interventions the nurse should use to assist this individual to restore baseline functional status in order, beginning with the first intervention. a. Provide well-balanced diet. b. Assist with range of motion. c. Sit in chair 4 times daily. d. Keep O2 saturation above 95%.
When assessing a patient with a possible MI, what should the nurse assess for? (Select all that apply.)
a. Pain radiating to left arm and jaw b. Hypertension c. Pallor d. Diaphoresis e. Erratic behavior f. Cardiac rhythm changes
A client who has had acute tonsillitis develops drooling and reports severe throat pain. What is the nurse's priority intervention?
a. Assess the throat for deviation of the uvu-la. b. Prepare the client for surgery. c. Teach the client about antibiotic therapy. d. Prepare the client for percutaneous needle aspiration.
The nurse has provided education about cancer prevention to a community group. Which statements made by the participants indicate an understanding of the information?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "I've been thinking about trying a vegetarian diet. Now may be a good time." B. "I am going to call my doctor and schedule a pap smear." C. "I think I will start taking vitamin A and selenium." D. "I've never been a drinker, but I am going to start drinking a glass of wine with dinner." E. "I am going to read the label on that new bottle of sunscreen I bought."