A client with chronic pancreatitis is prescribed enteral nutritional supplements with a polymeric formula. For which reason should the nurse question this prescription?
a. Isotonic formulas can cause diarrhea and should be avoided
b. Modular formulas would better address nutritional requirements
c. Clients with chronic pancreatitis require formulas with predigested macronutrients
d. Polymeric formulas contain nutrients which are partially digested and easy to absorb
c. Clients with chronic pancreatitis require formulas with predigested macronutrients
Clients with chronic pancreatitis may have malabsorption problems and benefit from formulas that contain predigested nutrients. Isotonic formulas are less likely to cause diarrhea than hypertonic formulas. Modular formulas are not designed to fully meet daily nutritional requirements. Polymeric formulas contain macronutrients that are intact and require the presence of digestive enzymes to be fully digested.
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Which statement by the patient indicates a teaching need regarding safety in the home?
a. "I will put a night light in every room." b. "I will not use an extension cord to plug in multiple items." c. "I will wash my throw rugs in the bathroom regularly." d. "I will keep all cleaning supplies out of reach of children."
Which of the following best explains why some community health nurses find nursing models inappropriate for use in their clinical practice?
a. Models are almost always based on meeting the needs of individuals, not groups. b. Models are too theoretical and not realistic. c. Models, developed for the middle class, do not fit low-income families. d. Models taught in nursing school are not remembered by nurses in practice.
A child who has a history of renal failure and has undergone kidney transplantation is starting school this year. The school nurse knows this child would be classified into which category?
1. Increased use of health care services 2. Dependent on medications or special diet 3. Functional limitations 4. Dependent on medical technology
Which is the most developmentally appropriate intervention when working with the hospitalized adolescent?
a. Encourage peers to call and visit when the adolescent's condition allows. b. Encourage the adolescent's friends to continue with their daily activities; the adolescent has concrete thinking and will understand. c. Discourage questions and concerns about the effects of the illness on the adolescent's appearance. d. Ask the parents how the adolescent usually copes in new situations.