A client with liver failure is diagnosed with malnutrition. Which vitamin deficiencies does the nurse understand the client is at greatest risk for developing? Select all that apply.
A) C
B) K
C) A
D) D
E) E
B) K
C) A
D) D
E) E
Explanation: A) Vitamins K, A, D, and E (as well as vitamin B-12) are stored in the liver and may become deficient if the client has impairment of the liver.
B) Vitamins K, A, D, and E (as well as vitamin B-12) are stored in the liver and may become deficient if the client has impairment of the liver.
C) Vitamins K, A, D, and E (as well as vitamin B-12) are stored in the liver and may become deficient if the client has impairment of the liver.
D) Vitamins K, A, D, and E (as well as vitamin B-12) are stored in the liver and may become deficient if the client has impairment of the liver.
E) Vitamins K, A, D, and E (as well as vitamin B-12) are stored in the liver and may become deficient if the client has impairment of the liver.
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Which statements accurately reflect the distinction between nursing diagnoses arrived at as part of the nursing process and medical diagnoses?
Select all that apply. A) A nursing diagnosis is determined following an assessment and analysis of data gathered only by registered nurses; a medical diagnosis is determined following an assessment and analysis of data gathered only by physicians. B) A nursing diagnosis changes as the client's responses to an illness or health situation change; a medical diagnosis remains the same as long as the disease process persists. C) A nursing diagnosis describes a client's physical, sociocultural, psychological, and spiritual responses to an illness or health condition; a medical diagnosis refers to disease processes. D) A nursing diagnosis considers the etiology of the health problem to give direction to required nursing care; a medical diagnosis does not consider the etiology of the health problem to give direction to medical care. E) A nursing diagnosis requires the nurses to consider standards and norms as well as cues from clients in discerning an appropriate nursing diagnostic label; a medical diagnosis uses standards and norms only. F) Both nursing diagnoses and medical diagnoses include a wellness diagnosis component.
An 85-year-old widower who was recently admitted to a nursing home for increased supervision had become more confused at home and had recently left a potholder in the oven, which caused a small fire
The client's son encouraged him to move into the nursing home. Which nursing intervention can be used to best improve this client's reality orientation? A) The use of clocks and calendars B) Reminiscing about the "good old days" C) Speaking loudly in a high-pitched voice D) Rearranging his room occasionally to keep things new
The nurse working in a free-standing clinic treats only "vertical clients." Which of the following is an example of this type of client?
A) A client with severe burns over two-thirds of his body B) A client who is experiencing an MI C) A client who has bronchitis D) A client in sickle cell anemia crisis
The nurse is reviewing the process of insomnia with a group of colleagues. Which should the nurse identify as a predisposing factor for the health problem?
A. Life stress B. Loss of a job C. Poor coping skills D. Worry