A patient has heart failure and takes spironolactone (aldactone). What diet selection from the menu shows that the patient needs more education?
a. A low-fat chicken salad sandwich
b. Salt-free vegetable soup
c. Broiled fish with lemon
d. Salt substitute and pepper
D
Older patients have difficulty excreting potassium because of age-related kidney changes. This patient also takes aldactone, a potassium sparing diuretic. If the patient adds a salt substitute, normally high in potassium, the chances of developing hyperkalemia are high. The nurse needs to provide education on other ways to flavor foods. The other diet choices are fine.
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A patient with cancer is diagnosed with malnutrition. What does the nurse realize are causes of malnutrition in this patient?
Select all that apply. 1. decreases in metabolism resulting from increased cancer cell production 2. decreased available nutrients due to the cancers parasitic activity 3. loss of appetite due to side effects of chemotherapy 4. decreased absorption in the gastrointestinal tract 5. parenteral nutrition supplements administered via venous access devices
Which interventions would be indicated and take highest priority for a 30-year-old female with a BMI of 20 who smokes and has a blood pressure of 137/88?
1. Smoking-cessation program 2. Diuretic therapy 3. Weight-loss program 4. Stress management
The nurse needs to transfer the patient from the bed to the stretcher. The patient is unable to assist. Of the following, which would be the best technique for transferring the patient?
a. Using three nurses and a slide board b. Using the three-person lift technique c. Raising the head 30 degrees d. Having the patient keeps arms to the side
Individuals who grow up in "at-risk" environments but are able to become productive, successful citizens are believed to possess which of the following characteristics?
A) Hardiness B) Resilience C) Social skills D) Tolerance