Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to their child. What is the correct response?
a. "The infant has limited ability to produce red blood cells."
b. "The infant has ineffective digestive enzymes."
c. "The infant has exhausted maternal iron stores."
d. "The infant has need of the iron to support dentition."
ANS: C
Many pediatricians recommend iron-fortified formulas because maternal iron stores decrease by 6 months of age.
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An 82-year-old man is admitted to a medical-surgical unit for diagnostic confirmation and management of probable delirium. Which of the following statements by the client's daughter best supports the diagnosis?
1. "Dad has always been so independent. He's lived alone for years since my mom died." 2. "Dad just didn't seem to know what he was doing. He would forget what he had for breakfast." 3. "Maybe it's just caused by aging. This usually happens by age 82." 4. "The changes in his behavior came on so quickly. I wasn't sure what was happening."
A 71-year-old man is slated for pacemaker insertion for treatment of a third-degree AV block
The man's nurse has been educating him about his diagnosis and treatment and answering the numerous questions he has about his health problem. Which of the following teaching points should the nurse include in this patient teaching? A) "This is almost certainly a condition that you were actually born with, but that is just now becoming a serious problem." B) "Because the normal electrical communication in lacking, the bottom parts of your heart are beating especially fast to compensate for inefficiency." C) "The root problem is that the top chambers of your heart and the bottom chambers of your heart aren't coordinating to pump blood efficiently." D) "If left untreated, this would have put you at great risk of stroke or heart attack."
The nurse is caring for a client with dysphagia resulting from a stroke. Which of the following is a primary responsibility of the nurse with regard to feeding the client?
A) Inform the client about the kind of food being offered with each mouthful. B) Keep oral and pharyngeal suctioning equipment at the client's bedside. C) Develop a rapport with the client and promote continuity of care. D) Teach the client about the role of nutrition in recovery.
Which of the following nursing interventions is involved in ensuring that the client does not suffer any injury due to significant regulation in blood pressure (BP)?
A) Monitor the client's BP every hour. B) Monitor the client's positioning when sleeping. C) Monitor postural changes in BP. D) Assess the client's surroundings.