In providing nourishment for a child with cystic fibrosis (CF), which factor should the nurse keep in mind?
a. Diet should be high in carbohydrates and protein.
b. Diet should be high in easily digested carbohydrates and fats.
c. Most fruits and vegetables are not well tolerated.
d. Fats and proteins must be greatly curtailed.
ANS: A
Children with CF require a well-balanced, high-protein, high-calorie diet because of impaired intestinal absorption. Enzyme supplementation helps digest foods; other modifications are not necessary. A well-balanced diet containing fruits and vegetables is important. Fats and proteins are a necessary part of a well-balanced diet.
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Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand. Nurses should know that:
a. Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own. b. Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar. c. During the second and third trimesters, pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. d. Maternal insulin requirements steadily decline during pregnancy.
A patient diagnosed with mild diffuse axonal injury is being admitted to the intensive care unit. The nurse would anticipate which assessment findings?
1. The accident causing this injury occurred several weeks ago. 2. There are symptoms that are similar to those demonstrated by a patient who sustained a concussion. 3. There is dilation of the pupils for several hours post injury. 4. There is presence of coma that may last for an extended period of time.
A child is having an anaphylactic response. Place in order the interventions a nurse should perform beginning with the initial (highest priority) intervention and ending with the lowest priority intervention
Use the following format for your Answer: A, B, C, D a. Administer steroids and antihistamines as prescribed. b. Ensure an adequate airway. c. Administer epinephrine as prescribed. d. Administer oxygen. e. Determine the cause of the reaction.
You are one of the nurses monitoring the dining room during dinner. A male patient who has schizophrenia asks a table mate to "please pass the pepper." When the table mate does so, the first patient throws the pepper shaker at you
He or she screams, "Now look what you've done! There are spiders all over my food! I can't eat this! Get the spiders out of there!" Your best response is: A) "Those aren't spiders; that is the pepper you asked for!" B) "I don't see any spiders. Let's go to the game room for a little while before you try eating again." C) "Where are the spiders? I am also afraid of them!" D) "It is inappropriate to throw things; you need to go to the locked unit now."