Do you agree with the prescription of a 1000 to 1200 kcal diet for this patient after the fast is over? Discuss your answer. If you do not agree, what kcal level do you recommend?


If the fast went well and the patient adjusted to this calorie level, and protein stores were good, I would continue with this level while monitoring protein and continuing with the multivitamin/mineral, Ca, etc. If the patient loses a significant amount of weight as fat and as muscle mass, his caloric and protein intake may have to increase.

Nursing

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Severe chest pain is reported by a client during an acute myocardial infarction. Which of the following is the most appropriate drug for the nurse to administer?

A) Isosorbide mononitrate (Isordil) B) Meperidine hydrochloride (Demerol) C) Morphine sulfate (Morphine) D) Nitroglycerin transdermal patch

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During the first six months of breastfeeding, the number of kcal needed to produce an adequate supply of breast milk is:

1. 430 kcal. 2. 530 kcal. 3. 630 kcal. 4. 730 kcal.

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Which part of the female reproductive system opens to the outside of the body?

a. The vagina b. The urethra c. The uterus d. The fallopian tube

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The primiparous patient at 39 weeks' gestation calls the clinic and reports increased bladder pressure but easier breathing and irregular, mild contractions. She also states that she just cleaned the entire house

Which statement should the nurse make? 1. "You shouldn't work so much at this point in pregnancy." 2. "What you are describing is not commonly experienced in the last weeks." 3. "Your body may be telling you it is going into labor soon." 4. "If the bladder pressure continues, come in to the clinic tomorrow."

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