Imbalanced nutrition: Less than body requirements is the nursing diagnosis applicable to a patient with progressive systemic sclerosis. What is the most important point for the nurse to teach this patient?
a. Eat three large meals spaced throughout the day.
b. Schedule rest periods to prevent overtir-ing.
c. Severe stress can trigger vasospasm.
d. Eat smaller, more frequent meals.
D
Smaller, more frequent meals may be better tolerated by a patient who has esophageal involve-ment.
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A mother brings her 6-month-old infant and 18-month-old child to the health clinic for a routine visit. The nurse counsels the mother about lead exposure testing. Which information should the nurse include? (Select all that apply.)
A. "About one-fourth of all homes where kids under 6 live are contaminated by lead." B. "Both of your children should have testing for lead at this time." C. "Lead exposure may cause anemia, seizures, and mental retardation if not treated." D. "Lead testing for children is recommended by the American Academy of Pediatrics." E. "We can test your older child for lead exposure, but it is too early for the 6-month-old."
You are the nurse caring for a 72-year-old female who is recovering from abdominal surgery on the medical-surgical unit
The surgery was very stressful and prolonged, and you note on the chart that her blood sugars are elevated, yet she has not been diagnosed with diabetes. To what do you attribute this elevation in blood sugars? A) It is a result of antidiuretic hormone. B) She must have had diabetes prior to surgery. C) She has become a diabetic from the abdominal surgery. D) The blood sugars are probably a result of the "fight-or-flight" reaction.
The nurse is caring for several pts at risk for DVT and PE. Which conditions causes the pt to be a candidate for placement of a vena cava filter?
a. massive PE causing the pt to experience shock symptoms b. multiple emboli with deteriorating cardiopulmonary status c. recurrent bleeding while receiving anticoagulants d. no response to oxygen therapy and conservative management
Patients with respiratory distress syndrome demonstrate a characteristic grunt during expiration. This is an attempt to:
a. decrease negative intrathoracic pressure b. inflate non-compliant lungs c. maintain functional residual capacity