The nursing staff decides on a nursing diagnosis of "Imbalanced nutrition: less than body requirements for a patient with leukemia." Which goal is most realistic for this patient?
a. To gain 5 lb, eat foods high in calories at each meal.
b. To avoid nausea, eat slowly, and eat small meals.
c. To consume all food at every meal, offer three large meals.
d. To maintain a stable weight, eat small meals, and avoid vomiting.
D
A goal for "Imbalanced nutrition: less than body requirements" would be maintaining a stable weight.
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When the nurse is using a wheelchair to transport a client, which of these actions is essential?
a. Push the wheelchair into doorways and elevators with the client facing forward. b. Lift the footrests when getting the client into or out of the chair. c. Push the wheelchair slowly from behind. d. Keep the wheelchair unlocked when the client is not in motion.
To provide spiritually competent care, what should the nurse do first?
1. Perform a physical assessment. 2. Perform personal values-clarification activities. 3. Read the patient's nursing history. 4. Research information on the patient's cultural group.
Nurses should be aware that chronic hypertension:
1. is defined as hypertension that begins during pregnancy and lasts for the duration of pregnancy. 2. is considered severe when the BP systolic is greater than 140 or the diastolic is greater than 90. 3. is general hypertension plus proteinuria. 4. can occur independently or simultaneously with gestational hypertension.
If a choking victim loses consciousness, you should
A. position the patient in the supine position, tip the head back, and begin CPR. B. place the victim in the prone position and apply steady downward pressure on the back. C. immediately begin rescue breathing once every five seconds. D. never place your fingers in the victim's mouth.