The nurse is assessing a critically ill patient's nutritional needs. What information is essential for the nurse to obtain during this assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Patient's current height and weight
2. Food allergies
3. Use of nutritional supplements
4. If the patient can swallow
5. Amount of water consumed each day
1,2,3,4
Rationale 1: This information is essential for the nurse to obtain.
Rationale 2: This information is essential for the nurse to obtain.
Rationale 3: This information is essential for the nurse to obtain.
Rationale 4: This information is essential for the nurse to obtain.
Rationale 5: This information is not essential for the nurse to obtain.
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What instruction should the nurse provide to a nursing assistant who is assigned to care for an older patient with a stage I pressure ulcer on the right heel?
1. Apply a dry dressing to the site. 2. Apply a donut under the right heal. 3. Cleanse the area with tepid water without soap. 4. Keep the head of the bed elevated to a 45-degree angle.
When explaining community-based nursing versus nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include?
A) Increased time available for education B) Improved access to resources C) Decision making in isolation D) Greater environmental structure
Lymphoid tissue normally regresses to adult size by:
a. 2 years of age. b. 5 years of age. c. 10 years of age. d. puberty.
In hypoxic injury, why does sodium enter the cell and cause swelling?
a. The cell membrane permeability increases for sodium during periods of hypoxia. b. ATP is insufficient to maintain the pump that keeps sodium out of the cell. c. The lactic acid produced by the hypoxia binds with sodium in the cell. d. Sodium cannot be transported to the cell membrane during hypoxia.