A nurse monitors a patient with anorexia nervosa for complications of refeeding. Which assessment is most important?
a. Pupillary reaction to light
b. Temperature measurements
c. Reports of serum electrolytes
d. Complaints of sleep disturbances
C
Changes in serum electrolytes signal complications of refeeding syndrome. Rapid weight gain can overwhelm the heart, resulting in cardiovascular collapse. The other body assessment findings are not indicative of refeeding syndrome.
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A patient is prescribed Bacillus Calmette-Guérin vaccine for bladder cancer. Patients with which of the following characteristics should not receive this vaccine?
A) Decreased white blood cells B) Decreased red blood cells C) Decreased platelets D) Increased sodium
The nurse is preparing an injection of 0.45 mL of medication for a pediatric patient. Which syringe is most appropriate?
a. Tuberculin syringe b. Insulin syringe c. 3-mL syringe d. 10-mL syringe
A toddler shows fear and begins to cry when her parent leaves her at day care. According to Havighurst, which developmental task should the nurse recognize this child is exhibiting?
1. Building wholesome attitudes toward oneself 2. Learning to get along with age-mates 3. Learning to relate emotionally 4. Achieving personal independence
A female patient taking an ACE inhibitor learns that she is pregnant. What will the nurse tell this patient?
a. The fetus most likely will have serious congenital defects. b. The fetus must be monitored closely while the patient is taking this drug. c. The patient's prescriber probably will change her medication to an ARB. d. The patient should stop taking the medication and contact her provider immediately.