A client has dementia and has trouble manipulating forks and spoons. Which of the following items would be most appropriate for her breakfast?
1. Oatmeal with butter rather than milk
2. Ham and egg sandwich on a croissant
3. Waffles with blueberry syrup
4. Cheese soufflé with cornmeal muffin
2
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A patient is wearing an abdominal binder after abdominal surgery. What does the nurse need to assess and document about the patient?
a. Neurological response b. Respiratory status c. Lymphatic status d. Genitourinary response
The nurse is utilizing Kohlberg's theory to assess the moral development of several school-age children. According to this theorist, the nurse should recognize this age group is mainly concerned with which step in moral development?
A) A feeling of justice B) Belief in due process C) Fear of punishment D) Wanting the approval of others
The nurse is caring for a patient who has had pneumonia twice in the last 6 months. Which of the following does this suggest to the nurse?
1. Immunodeficiency 2. Poor self-care habits 3. Poor air quality in the home 4. Poor nutritional status
A 49-year-old man has been admitted with hypotension and dehydration after 3 days of nausea and vomiting. Which order from the health care provider will the nurse implement first?
a. Insert a nasogastric (NG) tube. b. Infuse normal saline at 250 mL/hr. c. Administer IV ondansetron (Zofran). d. Provide oral care with moistened swabs.