The nurse is reviewing the changes in nutrition related to pregnancy with a 17-year-old who is 12 weeks pregnant. They are specifically focusing on the dairy requirements. What is the nurse's next action?
a. Ask, "Do you like milk, yogurt and cheese?"
b. Ask, "How many servings from the dairy group do you eat each day?"
c. Tell her, "You need to add no less than 3 cups of dairy-based foods each day."
d. Inform her, "If you do not like to drink milk, you can eat a spinach salad every day"
ANS: B
To individualize the patient's teaching plan, the nurse must first assess the patient's calcium intake. Then the nurse can modify the instructions for adequate calcium intake, based on the patient's actual needs. Milk, yogurt, and cheese are calcium-rich foods but are inappropriate for the lactose-intolerant patient. The adolescent pregnant patient requires more daily calcium than the recommendation of 3 cups per day for the adult woman. Spinach is a source of calcium but it also contains oxalates, which decrease calcium availability.
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After teaching a client how to prevent altitude-related illnesses, a nurse assesses the client's understanding. Which statement indicates the client needs additional teaching?
a. "If my climbing partner can't think straight, we should descend to a lower altitude." b. "I will ask my provider about medications to help prevent acute mountain sickness." c. "My partner and I will plan to sleep at a higher elevation to acclimate more quickly." d. "I will drink plenty of fluids to stay hydrated while on the mountain."
The client enters the outpatient clinic and says, "I think I have the flu. I'm so tired, I have no appetite, and everything hurts." The nurse assesses the client and finds a rash over the nose and on the cheeks, and suspects a diagnosis of:
1. Fibromyalgia. 2. Systemic lupus erythematosus. 3. Lyme disease. 4. Gout.
What is an example of an appropriate nursing diagnosis?
a. Impaired skin integrity b. Skin breakdown noted c. Turn patient every 2 hours d. The patient has scabies on his back
Following a CT scan, the nurse will encourage the spinal cord–injured patient to:
1. sit up at a 30-degree angle. 2. prevent chilling. 3. drink plenty of water. 4. avoid bearing down.