A nurse is caring for an older client in a residential care facility. The client has been extremely irritable the entire day. When modifying the client's plan of care,
which of the following would be an appropriate snack to offer the client to decrease the irritability?
A) Chocolate candy bar
B) Handful of raisins
C) Granola bar
D) Glass of milk
Ans: D
Clients with long-standing poor dietary habits (e.g., indigent clients, clients with alcoholism) often have deficiencies of thiamine and niacin. Increased irritability, disorientation, and paranoia may result. Low serotonin concentrations are also associated with irritability. Assessing overall dietary intake is relevant, particularly noting good tryptophan sources, such as wheat, flour, corn, milk, and eggs.
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a. Central cyanosis c. Carbon monoxide poisoning b. Peripheral cyanosis d. Acute hypoxemia
The nurse is discussing a new diet prescription with a client who is seeking help to lose weight. The client asks the nurse how to best balance the new diet. Which response by the nurse is most appropriate?
A) "Your diet should consist of 1,250-1,500 calories per day, with 15% of the calories being sources of protein." B) "Your diet should be consist of 750-1,000 calories per day, with less than 15% of the total calories coming from fat." C) "Your diet should simply cut 500 calories per day from your normal intake." D) "Your diet should consist of 1,000-1,200 calories per day, with less than 15% of the total calories coming from fat."
The client has been ordered to be treated with Losartan potassium. What effect should the nurse expect to see in the client's laboratory values?
a. Decreased liver enzymes b. Increased BUN and creatinine c. Decreased serum glucose d. Increased calcium
One major requirement of a nursing diagnosis is that it focuses on a problem that is:
A) established by the physician. B) based on the client's pathophysiology. C) legally treatable by registered nurses. D) included within the diagnosis-related group.