The nurse is assessing the nutritional status of a patient who has cholelithiasis and a body mass index of 35. What action should the nurse take initially?
A. Ask the patient to discuss strategies used to manage weight.
B. Ask if the patient takes daily supplemental vitamin C.
C. Ask if the patient has been skipping meals to reduce gallbladder pain.
D. Ask the patient to discuss typical daily menu choices.
Answer: D
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The client is asking if there is a pill that can be ordered to control the symptoms of menopause. Which assessment finding is most important in determining nursing care in association with hormone replacement therapy?
A) Presence of kyphosis B) Symptoms of hot flashes C) Family history of breast cancer D) History of osteoporosis
The nurse is caring for a client who is considering being admitted to hospice. What is the nurse's best response?
a. "Hospice admission has specific criteria. You may not be a viable candidate, so we will look at alternative plans for your dis-charge." b. "Hospice care focuses on a holistic ap-proach to health care. It is designed not to hasten death, but rather to relieve symp-toms." c. "Hospice care will not help with your symptoms of depression. I will refer you to the facility's counseling services in-stead." d. "You seem to be experiencing some dif-ficulty with this stage of the grieving process. Let's talk about your feelings."
A nurse is assessing the vital signs of a client who is moaning due to the acute onset of pain. What would be the expected objective findings?
A) Decreased pulse and respirations B) Increased pulse and blood pressure C) Increased temperature D) No change from client's norms
A home health nurse's patient caseload is ethnically diverse. Which interventions show understanding of cultural variables?
1. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible 2. Assessing the patient's response to acupuncture for pain 3. Discussing the patient's beliefs regarding treatment 4. Notifying the health care provider of the patient's intentions to consult with a medicine man for spiritual guidance 5. Removing the patient's collection of herbs to decrease the risk of an adverse effect when taken with Western medicine