Ms. N is a hospice client who has had insulin-dependent diabetes mellitus (type 1 diabetes) for many years. The visiting nurse instructs the caregiver to feed Ms. N 30 to 50 g of carbohydrate every 3 hours:
1. To prevent starvation ketosis
2. To promote water excretion
3. To spare fat for weight gain
4. To show a sign of loving care and concern
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The nurse is assessing an elderly Hispanic
woman who is being treated for hypertension. During the assessment, what is important for the nurse to remember about cultural aspects? a. The patient should be discouraged from using folk remedies and rituals. b. The nurse will expect the patient to value protective bracelets and "root workers" as healers. c. The nurse will remember that the balance among body, mind, and environment is important for this patient's health beliefs. d. The nurse's assessment needs to include gathering information regarding religious practices and beliefs regarding medication, treatment, and healing.
When eligible, the new nurse is encouraged to sit for a certification exam in their specialty area. What is the best reason for "going this extra mile"?
a. To stay current b. To provide added credentials for ad-vancement c. To provide CEUs d. To receive monetary rewards from the fa-cility
A patient is taking meperidine (Demerol) as needed for moderate to severe pain following an open appendectomy
The nurse assesses the following: current pain level 2, temperature 99° F, BP 130/76, respirations 10, lung sounds clear, abdomen soft and tender, bowel sounds present. Based on this assessment information, the priority nursing diagnosis is a. altered breathing pattern. b. risk for altered body temperature. c. risk for constipation. d. pain.
Assessment reveals a low percentile for midarm muscle circumference (MAMC) and a high percentile for triceps skin fold (TSF) thickness. Which of the following would be appropriate?
A) Teaching the client muscle-building exercises B) Discussing ways to increase body fat stores C) Assisting client in reducing the amount of fluid build-up D) Encouraging the use of a multivitamin supplement