After completing a nutritional assessment, the nurse compares a client's intake with the estimated average requirements (EAR). What should the nurse keep in mind about the EAR?
a. It was designed for use with populations and not individuals.
b. It estimates the amount of nutrients needed to meet average daily energy needs.
c. It provides average daily amount of a given nutrient sufficient to meet the nutrient requirement of 97-98% of healthy individuals.
d. It provides average daily nutrient intake amounts to meet the requirements of 50% or more of healthy individuals in a life stage and gender group.
d. It provides average daily nutrient intake amounts to meet the requirements of 50% or more of healthy individuals in a life stage and gender group.
The EAR is the average daily nutrient intake value that is estimated to meet the requirements of 50% or more of healthy individuals in a life stage and gender group. The estimated amount of nutrients needed to meet average daily energy needs is the estimated energy requirement (EER). The average daily amount of a given nutrient sufficient to meet the nutrient requirement of 97-98% of healthy individuals is found in the recommended daily requirement (RDA) of the DRI. The DRI are guidelines for a population rather than an individual.
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A parent reports that his 7-year-old child is very short compared to his peers, and his teeth came in slowly when he was younger. After searching the Internet the parent is worried about growth hormone deficiency (GHD)
Which response by the nurse is the most appropriate? A. "GHD is the only cause of the symptoms you describe." B. "Has your child ever had his thyroid evaluated?" C. "I will refer your child to an endocrinologist right away." D. "What did the dentist say about his teeth being delayed?"
An African American patient says to a white nurse, "You wouldn't understand me because you live in a white world." Select the nurse's best response
a. "I understand. All people go through the same experiences." b. Reassure the patient that nurses deal with people from all cultures. c. Gently change the subject to one that is less emotionally charged. d. "Please describe an example of something you think I would not understand."
Which of the following clinical findings among older adults is most unlikely to warrant further investigation and possible treatment?
A) An 81-year-old male's serum creatinine level has increased sharply since his last blood work. B) A 78-year-old female's GFR has been steadily declining over several years. C) A 90-year-old female's blood urea nitrogen (BUN) is rising. D) An 80-year-old male whose urine dipstick reveals protein is present.
An RN has called the physician to explain that the patient is having second thoughts about a procedure and would like to learn more about the alternatives before proceeding. In this instance the RN is enacting the element of the RN role known as:
a. counselor. b. researcher. c. advocate. d. mentor.