Which of the following clients receiving enteric feedings through a nasoenteric tube are most at risk for the potential of increased plasma osmolarity?

A. 50-year-old client receiving an isotonic enteral feeding product
B. 75-year-old unconscious client receiving a hyperosmolar enteral feeding product
C. 38-year-old client receiving a hyperosmolar enteral feeding product, who also eats and drinks PRN
D. 70-year-old client with an IV of D5W infusing at 125 mL/hr, who is also receiving a hyperosmolar enteral feeding product


B
Clients at risk for increased plasma osmolarity are older adults, those receiving hyperosmolar enteral feeding products, and those who are unconscious, unable to respond to the thirst reflex, or on fluid restrictions.

Nursing

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Interventions that promote a healthy lifestyle include all of the following except:

a. health screening. b. immunization. c. teaching. d. prescription medications.

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Which statement(s) is/are most true about the concept of acculturation? Select all that apply

a. A person who accepts both his own culture and a new culture and adopts elements of each has been acculturated. b. It is theorized that it can take years and even generations for an immigrant group to acculturate. c. A person who gradually learns and takes on the essential values, beliefs, and behaviors of the dominant culture has been acculturated. d. Acculturation is the outgrowth of a minority group's need to survive and flourish in a new culture.

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A client has undergone intestinal surgery and now has an incontinent ostomy. The use of which of the following products by the client indicates that the discharge learning goals have been achieved?

1. A powder for a yeast infection 2. Peroxide to toughen the peristomal skin 3. A commercial deodorant around the stoma 4. Alcohol to cleanse the stoma

Nursing

The nurse is planning a community adolescent pregnancy prevention program aimed toward parents. Which of the following recommendations should be included in the program include in order to be effective?

1. Instead of bringing up the topic of sex, parents should allow their children to reach a point where the child initiates the discussion. 2. Parents should encourage steady dating. 3. Rather than embarrassing an adolescent by addressing specific topics related to sex, parents should speak in broad, general terms. 4. Parents should not allow their son to develop an intense relationship with a girl who is much younger.

Nursing