A patient who is a member of the Church of Latter Day Saints (Mormon) must increase fluid intake. Which beverages should the nurse offer?
a. Wine or beer
b. Fruit juice, milk, or water
c. Coffee, tea, or iced tea
d. Unfermented or fermented apple juice
ANS: B
Patients who are Mormon do not drink alcoholic beverages and usually avoid beverages that contain caffeine, making fruit juice, milk, or water the only correct answers.
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A patient states, "I do cocaine when I feel things are out of my control." The nurse who responds by asking, "What else does cocaine do for you?" is using the communication skill of:
a. summarization. b. restating. c. showing acceptance. d. stating observations.
A nurse has a patient with a tunneled central line with a triple-lumen catheter. The insertion site is covered by an occlusive dressing with yesterday's date. The nurse is to give an intravenous drug through the central line
What should be the initial action of the nurse? a. Use any of the three ports for delivery. b. Change the occlusive dressing. c. Affirm catheter placement by withdraw-ing 10 mL of blood. d. Check dilution of the drug.
Nurses are revising the policy and procedure manual for the nursing unit. They work to ensure that the policies address more than one person and more than one set of circumstances. Which aspect of policy does this reflect?
1. Scale 2. Normativity 3. Generality 4. Decision determination
Which characteristics in an adult patient would the nurse assess as having poor cardiovascular health using the American Heart Association's Life's Simple 7?
A) Blood glucose 126 mg/dL, lack of physical activity, current smoker B) 60 minutes/week of moderate physical activity, weight of 26 kg/m2, quit 9 smoking months ago C) Cholesterol 150 mg/dL, quit smoking cigarettes 15 months ago, weight of 24 kg/m2 D) Systolic blood pressure 124 mm Hg, blood glucose 105 mg/dL, 3 healthy diet components