The wife of a client who has experienced third-degree burns on major portions of both arms asks the nurse, "Why is it so important for my husband to eat so much? He's had hypertension for several years and was just successful at losing 15 pounds
". Which of the following responses shows the nurse has an understanding of this client's nutritional needs? 1. "His body is using up all the calories to meet the energy needs he has right now.".
2. "The dietitian is careful to give him only the calories he needs.".
3. "His health care team is monitoring his blood pressure to be sure he is safe.".
4. "There will be time after he recovers to concentrate on losing any weight he gains.".
"His body is using up all the calories to meet the energy needs he has right now.".
Rationale: The client is experiencing calorie needs for both the metabolic response to a burn as well as the healing process. The remaining options do not provide an adequate explanation for the wife's concerns. Replying that the dietitian is responsible for determining caloric needs and suggesting the weight gain should be addressed later are examples of demeaning the wife's concerns. The statement that the health team is monitoring his blood pressure ignores the wife's concerns about weight gain.
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The gate theory about pain proposes that the amount of pain impulses reaching the brain is regulated in the
A) cerebellum. B) spinothalamic fibers of the spinal cord. C) substantia gelatinosa of the spinal cord. D) none of the above.
A study that follows a cohort of subjects and collects over time is referred to as:
A. observational. B. retrospective. C. longitudinal. D. experimental.
A client is prescribed a chemotherapeutic drug for treatment of leukemia and asks the nurse why a drug that can also cause cancer is being used to treat cancer. Which response by the nurse is the most appropriate?
1. "The incidence of carcinogenic effects is really quite small, and you shouldn't be concerned about it." 2. "Since you are receiving such potent drugs, they have to warn of you of every possible side effect." 3. "The risk for causing another cancer is there, but sometimes the benefit of the treatment outweighs the risks." 4. "The carcinogenic effects often do not show up for a few decades, and we want to cure this leukemia now."
What is the most important nursing consideration when teaching an older adult patient about a newly prescribed medication?
a. Provide detailed information. b. Lengthen the time of each teaching session. c. Present information slowly. d. Limit discussion on the necessity of learning the information.