A woman is hospitalized with severe pre-eclampsia. The nurse is meal-planning with the client. The nurse should encourage a diet that is high in:
1. Sodium.
2. Carbohydrates.
3. Protein.
4. Fruits.
3
Rationale:
1. While it is important that the client have adequate intake of carbohydrates and fruits, she needs to limit her intake of sodium and increase her intake of high-protein foods.
2. While it is important that the client have adequate intake of carbohydrates and fruits, she needs to limit her intake of sodium and increase her intake of high-protein foods.
3. The client who experiences pre-eclampsia is losing protein.
4. While it is important that the client have adequate intake of carbohydrates and fruits, she needs to limit her intake of sodium and increase her intake of high-protein foods.
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The nurse is reviewing a client's medical records and notes various forms of information. Which is an example of subjective data from this client's medical record?
1. The client states, "My abdomen hurts on the left side after eating." 2. The nurse notes the client's abdomen is tender on the left side during palpation. 3. The CAT scan reveals a large mass in the left lower quadrant of the abdomen. 4. The client's hemoglobin is 14.1 gm/dL.
Which of the following components of the nurse–client relationship fosters an honest and caring foundation?
A) Trust B) Self-awareness C) Genuineness D) Empathy
A patient with bipolar disorder takes lamotrigine. Which complaint by the patient would prompt the nurse to hold the drug and refer the patient to the physician for further assessment?
a. "I get a little dizzy sometimes." b. "I had a headache last week that lasted for about an hour." c. "I've broken out in a rash on my chest and back." d. "Last night I woke up twice with a bad dream."
A patient is receiving his third intravenous
dose of a penicillin drug. He calls the nurse to report that he is feeling "anxious" and is having trouble breathing. What will the nurse do first? a. Notify the prescriber. b. Take the patient's vital signs. c. Stop the antibiotic infusion. d. Check for allergies.