A client asks the nurse why fiber is a carbohydrate that is good for people and high fructose corn syrup as a carbohydrate is not. The nurse explains that:
1. Fiber digests slowly and slows the absorption of sugars.
2. Fiber is a great source of energy.
3. Sugar, in the form of high fructose corn syrup, contributes to weight gain.
4. High fructose corn syrup is only found in soft drink beverages.
1
Rationale: Fiber moves through the GI tract slowly, reducing the rate of sugar absorption, which is one of the reasons it is beneficial. Fiber is, therefore, a slow form of energy. Sugar contributes to weight gain only if consumed in excess; small amounts are acceptable for any diet. High fructose corn syrup is found in many foods besides soft drinks.
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Which of these statements represents subjective data the nurse obtained from the patient regarding the patient's skin?
a. Skin appears dry. b. No lesions are obvious. c. Patient denies any color change. d. Lesion is noted on the lateral aspect of the right arm.
The nurse transcribing orders should clarify the order of:
1. potassium chloride, 80 mEq in 1000 mL D5W in 24 hours. 2. potassium chloride, 40 mEq IV in 10 mL D5W IV push. 3. potassium chloride, 50 mEq in 500 mL D5W in 4 hours. 4. potassium chloride, 80 mEq in 1000 mL D5W in 12 hours.
The client is scheduled to have dual-energy x-ray absorptiometry scan (DEXA). What information regarding preparation for this test should be given to the client?
A. "You will need to drink at least 500 mL of fluid 1 to 2 hours before the scan." B. "You will be given a sedative just prior to the scan to reduce any pain or anxiety." C. "You should consume increased amounts of calcium-rich foods for the 48 hours preceding the scan." D. "There is no special preparation required for this test."
An older patient with a history of lung disease had a pneumococcal vaccination 10 years ago. What should be done for this patient?
1. Draw a blood culture. 2. Remind the patient that he needs a booster in 5 years. 3. Remind the patient that he does not need a flu vaccination. 4. Suggest that the patient have a pneumococcal booster during this visit.