The nurse would anticipate the need for an enteral access device in which of the following patients?
a. Patient whose bowel sounds have not yet returned after abdominal surgery
b. Patient who recently suffered a cerebrovascular accident (CVA)
c. Patient who dislikes the taste of facility meals
d. Patient who suffers from severe acute dysphagia
D
A patient who is unable to swallow because of severe acute dysphagia will require an enteral access device to provide adequate nutrition. The patient who suffered a CVA may require an enteral access device if the ability to swallow is affected, but more information would be needed before this option is chosen. A patient whose bowel sounds have not yet returned will remain NPO and may have no need for an enteral access device. Less invasive strategies can be used for the patient who does not like the taste of food provided by the facility.
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Which of the following will cause a nurse to suspect that a patient's pulmonary contusion is worsening?
a. A pulmonary artery catheter showing a central venous pressure of 6 cm H2O and a wedge pressure of 8 mm Hg b. An increased need for pain medication c. An arterial blood gas value that demonstrates respiratory alkalosis d. Increased peak airway pressures on the ventilator
A home health nurse is speaking to the daughter of a client who has had an unintentional weight loss of 20 pounds in the last 3 months. The client resides with her daughter
The daughter asks the nurse "what can I do to help keep my mom from losing more weight?" Which is the most appropriate response by the nurse? A) "You can add nonfat milk powder to food such as scrambled eggs to add more protein." B) "There is not much you can change. Weight loss is just part of the aging process." C) "Give your mother her liquid nutritional supplements with her meals." D) "If she smoked in the past, let her start smoking again. This may increase her appetite."
Which of these terms describes any abnormal growth of new tissue?
a. a malignancy c. a vesicant b. a neoplasm d. leukemia
Which statement is most correct regarding the nervous system of a child?
A) The child's nervous system is fully developed at birth B) As the child grows, the gross and fine motor skills increase C) The child has underdeveloped fine motor skills and well-developed gross motor skills D) The child has underdeveloped gross motor skills and well-developed fine motor skills