The nurse is planning a refeeding program for a patient diagnosed with cachexia from AIDS. Which of the following would be the best approach to take with this patient?
1. encourage the patient to ingest as much food as possible during each meal
2. plan to have the patient ingest the established goal of calories within 2 days
3. limit the patient's intake of fluids so to encourage a normal appetite
4. increase calories daily at the rate of 20 kcal/kg of the patient's body weight
4
Rationale: The patient with cachexia from AIDS is at risk for developing refeeding syndrome. In efforts to reduce this risk, the patient's calories should be increased daily at the rate of 20 kcal/kg of body weight. If the patient ingests as much food as possible during each meal, the risk of refeeding syndrome will increase. The increase in calories to the established goal may need to occur over a week and not within 2 days. Restriction of fluids is not indicated, will not necessarily stimulate a normal appetite, and may place the patient at risk for fluid volume deficit.
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The postoperative patient returned to the surgical nursing unit at 1:30 p.m. The evening shift nurse receives the report and begins working at 3:30 p.m. How often will the evening shift nurse take this patient's vital signs?
a. Immediately, then every 30 minutes for the next 2 hours b. Immediately, then every hour for the next 4 hours c. Every hour beginning 30 minutes from now until end of shift d. Immediately, then every 30 minutes 2 more times, then hourly
The nurse recognizes the blisters and erythema of the hands of a person recovering from frostbite as the skin disorder called _________________
ANS:
Which of the following is true regarding qualitative and quantitative research?
A) Quantitative research and qualitative research both develop eligibility criteria before consenting study participants. B) Quantitative research and qualitative research both use random samples whenever possible, to enhance the ability to predict within a wider population. C) Quantitative research and qualitative research both determine sample size in the same manner. D) Quantitative research and qualitative research both prefer a large sample to a small one, because it produces stronger statistical results.
A nurse is interviewing a 57-year-old patient whose father died 4 years ago. The patient's mother, for whom the patient was the primary caregiver, recently died. The nurse recognizes that this patient may be at risk for which disorder?
Select all that apply. 1. Anxiety 2. Depression 3. Panic disorder 4. Bipolar disorder 5. Complicated grief