The nurse takes into consideration the factors that influence nutritional needs, which include ______________________. (Select all that apply.)
a. level of activity.
b. gender.
c. climate.
d. presence of illness.
e. body temperature.
ANS: A, B, C, D, E
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A nurse is taking a patient who has Alzheimer disease to the bathing room for a tub bath. The patient states, "Please don't make me take a bath today. I am so afraid that I will be washed down the drain." What is the nurse's best response?
a. "Don't be silly; there's no way you would fit in the drain." b. "I am your nurse, and I will stay with you, so you shouldn't be afraid of your bath." c. "Let's go back to your room, and I will bathe you there." d. "Today is your day for a bath."
The nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first?
A) Radiography of the gallbladder B) Barium enema C) Small bowel series D) Barium swallow
A patient, diagnosed with diabetic ketoacidosis, presents with Kussmaul respirations at a rate of 28. A newly licensed nurse asks the patient to try to slow his breathing. What instruction should the preceptor provide?
1. "Keep trying to slow the patient's respirations because breathing so fast is hard on his heart." 2. "If he keeps breathing like that he will develop respiratory acidosis." 3. "Let the patient set his respiratory rate as rapid breathing helps to compensate for his acidosis." 4. "The patient is breathing deeply to help offset diabetes-induced hypoxemia."
The nurse monitors clients for the excessive accumulation of interstitial fluid known as edema. Which one of the following clients should this nurse monitor closely for this condition?
A) A 30-year-old client with a prolonged fever B) A 16-year-old client diagnosed with anorexia nervosa C) A 20-year-old client with food poisoning who is vomiting excessively D) A 78-year-old client with liver cirrhosis