A patient with a BMI of 32 is in the intensive care unit recovering from surgery to repair an abdominal aortic aneurysm. When planning for this patient's nutritional needs, which of the following should the nurse consider?
1. begin a weight reduction program immediately
2. meet the patient's current nutritional needs to optimize outcomes
3. introduce periods of fasting so the patient will get used to less food intake
4. maintain on intravenous fluids and clear liquids to assist the fat burning process
2
Rationale: Implementation of a low-calorie diet during acute illness may accelerate loss of lean body mass, which is inappropriate in an acutely ill patient. The obese high acuity patient has a higher BMI than a non-obese patient and will have higher resting energy expenditure. During acute illness it is crucial to meet the elevated nutrient needs of obese patients to optimize outcomes. The other choices are inappropriate because they would not meet the patient's current nutritional needs and could hinder the healing process.
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The mental health nurse is preparing a presentation for nurses who work with pediatric patients. Which barriers to mental health screening should the nurse include in the presentation? (Select all that apply.)
A. Belief that children do not have psychosocial or cognitive conditions B. Family shame related to psychosocial or cognitive conditions C. High level of health literacy regarding psychosocial or cognitive conditions D. Minimizing of psychosocial or cognitive conditions symptoms by health-care providers E. Stigma of psychosocial or cognitive conditions in society
A patient with a history of cardiac problems is admitted to a telemetry unit. The prescriber orders digoxin (Lanoxin) at a high dose for 2 days, followed by a lower dose thereafter. What is the nurse's best action?
a. Delay administration of the drug in order to discuss the prescription with the pharmacist. b. Question the prescriber about the two doses, recognizing that a potentially ha-zardous situation exists. c. Administer the drug per the prescription, recognizing that a loading dose, fol-lowed by a maintenance dose, is being given. d. In the interest of patient advocacy, seek a second prescriber's opinion before car-rying out the prescription.
What is the route of administration for TPN?
A) Oral B) Subcutaneous C) Intramuscular D) Intravenous
The nurse is assessing a client for type of urinary incontinence. Which of the following are considered types of this disorder? (Select all that apply.)
1. Stress 2. Radical 3. Urge 4. Temporary 5. Overflow 6. Functional