The nursing staff decides on a nursing diagnosis of "Imbalanced nutrition: less than body requirements" for a patient with leukemia. The goal that would be realistic for this patient is:
1. to gain 5 pounds a week on an outpatient basis.
2. not to experience nausea or vomiting at mealtime.
3. to consume all food portions at every meal.
4. to maintain a stable weight during hospi-talization.
4
A goal for "Imbalanced nutrition: less than body requirements" would be maintaining a sta-ble weight.
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A nurse explains that the lining of a vessel that allows for smooth blood flow and also reduced resistance in the vessel is the _____ of the vessel
Fill in the blank(s) with correct word
A client receiving chemotherapy experiences a metallic taste when eating. Which intervention should the nurse review with this client? (Select all that apply.)
a. Avoid orange juice b. Use plastic silverware c. Provide frequent oral care d. Avoid alcohol-based mouthwash e. Provide deli meats as protein source
Which of the following is a major side effect of butorphanol tartrate (Stadol)?
1. Blurred vision 2. Agitation 3. Feelings of dysphoria 4. Drowsiness
A client in labor who rates pain as 9 on a scale from 1 to 10 requests pain medication after refusing epidural anesthesia. What action should the nurse take prior to administering butorphanol tartrate (Stadol) as prescribed?
1. Offer epidural anesthesia again. 2. Administer oxygen via face mask at 6 to 10 L per minute. 3. Obtain maternal vital signs and assess the fetal heart rate (FHR). 4. Instruct on the actions and contraindications associated with the medication.