The home health nurse is providing dietary recommendations to keep the immune system healthy. The patient demonstrates understanding by increasing which in the diet?
a. Proteins
b. Fluids
c. Carbohydrates
d. Unsaturated fats
A
Protein stores must be kept at an adequate level in order to produce antibodies, thus boosting the immune system. Fluids, carbohydrates, and unsaturated fats will not enhance the immune system.
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The nurse on an adolescent psychiatric unit assesses a newly admitted 14-year-old. Which findings should the nurse document as aspects of the developmental history? Select all that apply
a. Severe acne b. Apgar score 10 c. Allergic to penicillin d. Reports frequent nightmares e. Had sexual intercourse one time with a childhood friend
During a focused assessment and interview regarding the client's head and neck, the client states that she is currently suffering from a severe headache that has occurred intermittently over the course of 3 days. The client denies any aura
The pain is severe and unilateral over the right side of her face. Also, the client is complaining of nasal congestion. Which of the following is the most likely diagnosis? 1. Cluster headache 2. Classic migraine 3. Tension headache 4. Hydrocephalus
Which priority instruction or precaution does the nurse teach a client who is scheduled for a positron emission tomography scan of the brain?
a. "Avoid caffeine-containing substances for 12 hours before the test." b. "Drink at least 3 liters of fluid during the 24 hours after the test." c. "Do not take your cardiac medication on the morning of the test." d. "Remove your dentures and any metal before the test begins."
Which step of the nursing process is a nurse using when analyzing patient data to determine a patient's strengths following a CVA?
a. Assessing b. Diagnosing c. Planning d. Implementing e. Evaluating