The nurse is reviewing written material on nutrition that is being distributed at a senior citizens center
The nurse recognizes that which statement does not accurately reflect the Dietary Guidelines for Americans, 2010 Edition and should be revised? 1. Half of all grains should be consumed as whole grains.
2. Sodium intake should be less than 1,500 mg daily.
3. Use oils to replace solid fats where possible.
4. Saturated fats should account for no more than 30% of daily calories.
4
Rationale 1: These guidelines recommend increasing whole grain intake by replacing refined grains with whole grains. At least half of all grains consumed should be whole grains.
Rationale 2: These guidelines have specific sodium intake recommendations for different populations. Sodium intake for those over 51 (which reflects the population in a senior center) should be no more than 1,500 mg daily.
Rationale 3: These guidelines recommend the use of oils in place of solid fats where possible.
Rationale 4: According to these guidelines, saturated fats should account for no more than 10% of daily calories; this statement should be revised.
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A patient in CCU is critically and terminally ill. The family has made a written request that no cardiopulmonary resuscitation (CPR) take place
The patient is well known to the physician, who does not agree with the family's assessment of the situation. While the physician is discussing the situation with the family and before agreement, the patient experiences a cardiopulmonary arrest. Legally, what is the most appropriate nursing action? A) Proceed as though a DNR order has been written, since such an order is anticipated. B) Take no action and page the patient's physician to ask for an immediate decision over the telephone. C) Initiate CPR and page the patient's physician to come to the care unit. D) Take no action and page the patient's family to return to the care unit immediately.
A patient is confused and is attempting to get out of the hospital bed. The nurse is tired after working for more than 10 hours and is concerned for the patient's safety
What is the best action that the nurse should take to prevent the patient from harm? a. Restrain the patient with wrist restraints. b. Place the patient with a belt restraint in a chair. c. Sedate the patient with medication. d. Ask a family member to sit with the patient.
A new tool and very short tool is developed. It is to be used instead of a previously validated tool that is very long to administer. What kind of validity concept will be used for testing this new tool?
a. Divergent validity b. Convergent validity c. Discriminant analysis d. Content validity
John doe, approximately 50 years old, is admitted to your unit for observation from the emergencydepartment (Ed) with the diagnosis of rule out hepatic encephalopathy with acute alcohol (ETOH) intoxication
This man was sent to the Ed by local police, who found him lying unresponsive along a rural road. Examination and x-ray studies are negative for any injury and you are awaiting the results of the blood alcohol level (BAL) and toxicology tests. He has no identification and is not awake or coherent enough to give any history or to answer questions. He is lethargic, has a cachectic appearance, does not follow commands consistently, and is mildly combative when aroused. He smells strongly of ETOH and has a notably distended abdomen and edematous lower extremities. He has a Foley catheter and is receiving an intravenous (IV) infusion of d5 ½ Ns with 20 mEq KCl and 1 ampule of multivitamins at 75 mL/hr. Admitting orders are shown in the chart. What do you need to do for John Doe, and what can you delegate to the nursing assistive personnel (NAP)?