The nurse is caring for a client receiving chemotherapy and radiation to treat neck cancer. What should the nurse keep in mind when this client's nutritional support is being determined?
a. Parenteral nutrition would be the easiest to manage in an outpatient setting
b. Enteral nutrition would be more difficult to administer on an outpatient basis
c. Clients receiving parenteral nutrition require daily monitoring by a home care nurse
d. Enteral nutrition would be the best choice because the client has a functional digestive tract
d. Enteral nutrition would be the best choice because the client has a functional digestive tract
Parenteral nutrition requires close monitoring and administration must follow a strict protocol. Because of the components of parenteral nutrition, regular blood glucose measurements to avoid hypo- or hyperglycemia episodes are needed. Enteral nutrition has been shown to have economic and health benefits over parenteral nutrition among clients with functional digestive tracts. Most clients can manage self-feeding with enteral nutritional supplements following education and demonstration by a nurse.
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A patient is seen in the clinic for complaints of "fainting episodes that started last week." How should the nurse proceed with the examination?
a. Blood pressure readings are taken in both the arms and the thighs. b. The patient is assisted to a lying position, and his blood pressure is taken. c. His blood pressure is recorded in the lying, sitting, and standing positions. d. His blood pressure is recorded in the lying and sitting positions; these numbers are then averaged to obtain a mean blood pressure.
The nurse is counseling an HIV-positive woman who has just given birth to a baby. The nurse should advise the client to
a. anticipate the needs of her child immediately and make arrangements for place-ment in a setting where her child's life will be comfortable. b. avoid breast-feeding her infant if she has access to a safe water supply to decrease the chances of vertical transmission. c. report all of her sexual partners to the infectious disease department in order to break the chain of transmission of the disease. d. seek professional counseling to deal with the guilt associated with the almost certain passing of the disease to her child.
An 8-year-old client is scheduled to undergo a tonsillectomy for chronic tonsillitis. The symptoms given below are related to tonsil disorders. The nurse caring for this client should know that which symptom is specifically related to tonsillitis?
A) Difficulty swallowing B) Headache C) Swelling and pain behind the ear D) Difficulty breathing unless sitting upright
A patient who is taking digoxin is admitted to the hospital for treatment of congestive heart failure
The prescriber has ordered furosemide (Lasix). The nurse notes an irregular heart rate of 86 beats per minute, a respiratory rate of 22 breaths per minute, and a blood pressure of 130/82 mm Hg. The nurse auscultates crackles in both lungs. Which laboratory value causes the nurse the most concern? a. Blood glucose level of 120 mg/dL b. Oxygen saturation of 90% c. Potassium level of 3.5 mEq/L d. Sodium level of 140 mEq/L