The nurse is caring for a pregnant teen. What should the nurse do to accurately assess the teen's nutritional intake?
1. Assess laboratory values.
2. Ask about cooking facilities.
3. Observe for clinical signs of malnutrition.
4. Ask to complete a dietary recall to identify eating patterns.
4
Explanation:
1. Laboratory values only provide information about the nutritional status of the client.
2. Cooking facilities might not be related to food intake.
3. Clinical signs of malnutrition only provide information about the nutritional status of the client.
4. In assessing the diet of the pregnant adolescent, it is important to consider the eating pattern over time, not simply a single day's intake. Once the pattern is identified, counseling can be directed toward correcting deficiencies.
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A. All of your children will inherit it. B. Each child has a 25% chance of inheriting it. C. None of your children will inherit it. D. Only the boys will inherit it.
A 12-year-old patient's mother recently married a man who has a 13-year-old daughter. The nurse recognizes that the patient belongs to which type of family?
1) Extended 2) Traditional 3) Blended 4) Nuclear
Which of the following systems supports the use and documentation of nursing processes and activities, and provides tools for managing the delivery of nursing care?
1. Administrative information system 2. Nursing information system 3. Computerized provider order entry (CPOE) 4. Clinical information system
A nurse is required to document an adult client's blood pressure. Which nursing intervention will help ensure that the systolic reading is not underestimated?
A) Assist the client to a comfortable position before assessing the pressure. B) Center the cuff's bladder above the site where the brachial pulse is palpated. C) Check that the aneroid manometer is vertical and at eye level. D) Inflate the cuff to a pressure 30 mm Hg above the point where the pulse disappears.