The nurse teaches a patient with cancer of the liver about high-protein, high-calorie diet choices. Which snack choice by the patient indicates that the teaching has been effective?
a. Lime sherbet
b. Blueberry yogurt
c. Cream cheese bagel
d. Fresh strawberries and bananas
ANS: B
Yogurt has high biologic value because of the protein and fat content. Fruit salad does not have high amounts of protein or fat. Lime sherbet is lower in fat and protein than yogurt. Cream cheese is low in protein.
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The nurse is teaching a client scheduled for a colonoscopy on pre- and post-procedure care. Which statement by the client indicates the need for further teaching?
A) "I will likely have medications that will make me drowsy during the test." B) "It might be quite painful." C) "The physician might take tissue samples for further analysis." D) "The procedure will only take about 1 hour."
In caring for a client who is taking oral hypoglycemic agents, the nurse recognizes these medications are used in the treatment of which type of diabetes?
a. gestational, requiring therapy for a very short time b. type 1, not stable with insulin administration only c. type 2, not controlled with diet and exercise d. type 1 and type 2, not controlled by diet and exercise
A new staff nurse is assigned to the unit. The charge nurse evaluates that the new staff member knows the proper use of the aquathermia pad when:
A. The temperature was set between 95° and 98° F B. The water in the reservoir was allowed to run out C. The pad was covered with a towel or pillowcase D. The client was positioned to lie directly over the pad
The nurse is caring for a patient with schizophrenia who is recovering from open abdominal surgery. The nurse observes the patient grimacing and guarding his abdomen. From the information provided, what priority nursing diagnosis will the nurse formulate
1. Disturbed thought processes due to surgery, evidenced by tachycardia and tachypnea. 2. Acute pain due to surgery, evidenced by facial grimacing, tachycardia, and tachypnea. 3. Acute pain caused by surgery, manifested by facial grimacing, tachycardia, and tachypnea. 4. Disturbed thought processes caused by schizophrenia, manifested by tachycardia and tachypnea.