A client has been identified as being at risk for formation of pressure ulcers. Which dietary choices by the client indicate a good understanding of teaching related to this condition?
a. Low-fat diet with whole grains and ce-reals and vitamin supplements
b. High-protein diet with vitamins and min-eral supplements
c. Vegetarian diet with nutritional supple-ments and fish oil capsules
d. Low-fat, low-cholesterol, high-fiber, low-carbohydrate diet
B
The preferred diet is high in protein to assist in wound healing and prevention of new wounds. Fat is also needed to ensure formation of cell membranes, so any of the options with low fat would not be good choices. A vegetarian diet would not provide fat and high levels of protein.
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A CNA (certified nursing assistant) is discussing the role of bargaining representative. The CNA states, ?Why would they select a nurse to be the representative?? A coworker informs the CNA:
1. ?Administration chose a nurse for this role.? 2. ?Why do you care who is the representative?? 3. ?The representative must be an employee.? 4. ?The representative must be a nurse if the unionized organization is a hospital.?
A client with terminal cancer has signed an advance directive indicating that no parenteral nutrition or hydration will be implemented
For several days the client has refused food and fluids, pushing the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid. The family is considering placing a gastrostomy tube because they feel the client is "starving to death." Which actions by the nurse are appropriate? Select all that apply. A) Take the case to the hospital's ethics committee. B) Honor the client's refusal of parenteral nutrition and hydration. C) Talk to the healthcare provider so the family's wishes can be acted upon. D) Help the family come to terms with the situation. E) Honor the family's wishes and have them sign a consent form.
The child who had a tonsillectomy earlier today is now awake and tolerating fluids. The child asks for something to eat. The most appropriate choice would be
1. orange slices. 2. lemonade. 3. grapefruit juice. 4. applesauce.
Kimberly, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her "a lot of new toys, because she will be in the hospital."
The nurse's reply should be based on an understanding of which concept? a. New toys make hospitalization easier. b. New toys are usually better than older ones for children of this age. c. At this age, children often need the comfort and reassurance of familiar toys from home. d. Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.