The breastfeeding mother is concerned that her milk production has decreased. The nurse knows that further patient teaching is needed based on which statement?
1. "I am drinking a minimum of 8–10 glasses of liquid a day."
2. "I have started cutting back on my protein intake."
3. "At least three times a day, I drink a glass of milk."
4. "I try to take a nap in the morning and afternoon when the baby is sleeping."
2
Rationale 1: The breastfeeding mother must consume a minimum of 8–10 glasses of liquid per day.
Rationale 2: The decreased intake of protein will decrease milk production.
Rationale 3: The breastfeeding mother must increase her protein and calcium intake.
Rationale 4: Adequate rest is necessary for the body to maintain its production of milk.
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The nurse is caring for a middle-aged female client who is experiencing premenopausal symptoms. Which client statement indicates the need for further teaching?
A) "I like to take a brisk walk in the morning." B) "I only drink orange juice fortified with calcium and vitamin D." C) "Bone resorption slows with aging due to a decrease in estrogen levels." D) "I like to have a glass of red wine in the evening."
The nurse is caring for a patient diagnosed with uncontrolled asthma. The nurse implements interventions to help control the effects of asthma on which element of the patient's pulmonary gas exchange?
1. Removal 2. Diffusion 3. Ventilation 4. Perfusion
The nurse prepares to insert a patient's nasogastric tube (NGT) for tube feedings. Which patient assessment requires the nurse to collaborate with the patient's healthcare provider before in-itiating the feeding?
a. An intact gag reflex b. An occluded right naris c. Impaired swallowing d. Absent bowel sounds
Which of the following are ANA standards of clinical nursing practice? Select all that apply
A) The nurse's practice and actions are guided by hospital policy and regulations. B) The nurse maintains patient confidentiality within legal and regulatory parameters. C) The nurse is the patient advocate and discourages patients to advocate for themselves. D) The nurse delivers care in a nonjudgmental manner that is sensitive to patient diversity E) The nurse delivers care in a manner that preserves or protects patient dependency, dignity, and rights. F) The nurse seeks available resources to help formulate ethical decisions and use them in practice.