An older client who is in the process of recovering from a serious illness tells the nurse that he would like to gain back the weight lost while in the hospital. The nurse explains that in order to gain weight, positive energy expenditure must exist
Several ways to create positive energy expenditure would be: (Select all that apply.) 1. Increase the amount of food consumed daily.
2. Enhance caloric intake with high protein nutritional supplements.
3. Limit alcohol consumption.
4. Avoid unnecessary strenuous activity.
5. Decrease intake of nutrient rich foods.
1, 2, 3, 4
Rationale: In order to create a positive energy expenditure, the number of kcalories consumed need to be increased and energy expended through physical activity should be minimized. Kcalories can be increased by increasing the amount of food consumed daily and enhancing caloric intake with high protein nutritional supplements. Alcohol consumption increases the number of calories consumed, but does not produce energy. Energy expenditure can also be decreased by avoiding unnecessary strenuous activity. Decreasing nutrient-rich foods could create a negative energy balance.
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After teaching a woman who has had an evacuation for a hydatidiform mole (molar pregnancy) about her condition, which of the following statements indicates that the nurse's teaching was successful?
A) "I will be sure to avoid getting pregnant for at least 1 year.". B) "My intake of iron will have to be closely monitored for 6 months.". C) "My blood pressure will continue to be increased for about 6 more months.". D) "I won't use my birth control pills for at least a year or two.".
The nurse on a medical-surgical unit notices that there has been an increase in the number of client falls. Which methods would be effective in promoting quality improvement on this is-sue? (Select all that apply.)
a. Identify causes of falls on the unit by looking at specific client cases. b. Look at the research and the literature on prevention of falls. c. Complain to the manager that team members are neglecting the clients. d. Use sit and stand alarms because they seem to be working on other units. e. Try more frequent rounding on clients as suggested by co-workers.
Certain diseases of the lower intestinal tract may be treated through a surgical procedure called
a. an ostomy. c. an edema. b. chemotherapy. d. dialysis
A patient is being prepared to receive a prescribed blood transfusion. What is the best way that the LPN can assist the health team to prevent a transfusion reaction?
a. Monitor vital signs every 15 minutes. b. Warm blood to 98.6°F (37°C) before infusion. c. Administer diphenhydramine (Benadryl) before the infusion. d. Assist the registered nurse (RN) to identify correctly the patient and the blood product.