A nurse is determining if children with severe acute malnutrition (SAM) should receive facility-based or community-based care. Which of the following children should receive care in the community?
a. 3-year-old male who has a history of dehydration
b. 9-month-old male whose family has adequate support and resources to obtain the recommended treatment
c. 4-year-old female who has sensitivity to milk products
d. 6-month-old female who has a good appetite and no underlying medical conditions
Answer: d. 6-month-old female who has a good appetite and no underlying medical conditions
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A nurse is caring for a visually impaired 20-month-old who has not begun to walk. An appropriate nursing diagnosis for this child would be:
1. Delayed growth and development. 2. Impaired physical mobility. 3. Self-care deficit. 4. Impaired home maintenance.
A patient with generalized convulsive disorder has a nursing diagnosis of "Deficient knowledge, related to lack of information about the side effects of phenytoin (Dilantin)." Which goal and outcome criteria would be most appropriate?
a. Absence of gastrointestinal (GI) com-plaint; takes medication with food b. Stimulation of gingiva; brushes teeth vi-gorously to encourage gingival growth c. Maintenance of normal pattern of elimi-nation; limits fluids and eats foods that reduce diarrhea d. Maintenance of normal sleep pattern; re-duces stimuli and takes warm baths to in-duce drowsiness
A patient is receiving dopamine, a vasoactive drug used for shock, to increase stroke volume. What should the nurse be aware of when monitoring a vasoactive drug?
A) The drug should be discontinued immediately after blood pressure increases. B) The drug dose should be weaned down prior to discontinuing. C) The drug may cause respiratory alkalosis. D) The drug reduces oxygen demands of the heart.
A male patient is postoperative day 7 following an esophagectomy that was performed for the treatment of esophageal cancer
The patient's nasogastric tube (NG) has just been removed, and the patient has passed a swallowing assessment and appears to have an intact anastomosis. What should the nurse teach the patient about his progression in oral food and fluid intake? A) "For the next few days, you'll likely drink supplements like Boost or Ensure." B) "You'll receive total parenteral nutrition for 3 to 5 days while your esophagus heals." C) "We'll be arranging for you to have small meals several times a day for the next little while." D) "We'll encourage you to now begin eating the same way that you normally do."