The nurse has been working with a client about the necessity of limiting intake of saturated fats. Which diet selection by the client indicates that the client has understood the teaching?
1. Peanut butter and jelly sandwich
2. Bacon, lettuce, and tomato sandwich
3. Macaroni and cheese
4. Beef taco with refried beans
1
Rationale: A peanut butter and jelly sandwich has some fat from the peanuts, but it is not saturated fat so it is a good choice for this client. Bacon has saturated fat (solid at room temperature) as does the cheese. Beef has saturated fat and refried beans are made with lard, another saturated fat.
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The nurse in the nursery may use CRIES, PIPP, NIPS, or NPASS as a guide to _____________ assessment
ANS:
An 81-year-old male resident of a long-term care facility has a long-standing diagnosis of heart failure. Which of the following short-term and longer-term compensatory mechanisms are least likely to decrease the symptoms of his heart failure?
A) An increase in preload via the Frank-Starling mechanism B) Sympathetic stimulation and increased serum levels of epinephrine and norepinephrine C) Activation of the renin-angiotensin-aldosterone system and secretion of brain natriuretic peptide (BNP) D) AV node pacemaking activity and vagal nerve suppression
To prevent multiple organ dysfunction syndrome, nursing management of a patient includes
1. enforcing hand washing before and after touching a patient. 2. using Lactated Ringer's as the flush solution when administering blood products 3. reporting a pulse of 102, respirations of 18, and temperature of 99.9ºF. 4. administering antibiotics through a central line used for total parenteral nutrition.
A patient who has had cancer for 1 year uses a fentanyl transdermal patch for pain relief. The patient reports having three or four episodes of pain (which she rates as 8 or 9 on a scale of 1 to 10) each day, and each episode lasts 15 to 30 minutes
The nurse will contact the provider to: a. discuss the use of an adjuvant analgesic. b. request an order for an NSAID. c. request a strong, short-acting opioid PRN. d. suggest increasing the dose of fentanyl.