A client with a history of alcohol dependence is discharged with nutritional recommendations to increase the intake of vitamin B foods and thiamine. The client states, "I can't eat this stuff. This food isn't fit for real people
" Which factor does the nurse recognize was not incorporated into the plan of care? 1. Age
2. Social environment
3. Marital status
4. Lifestyle habits
4
Rationale: Dietary practices are lifestyle habits that will influence the client's ability to adhere to the treatment plan. Marital status or social environment may or may not influence if the client adheres to the dietary recommendations. Age should not influence the client's ability to adhere to the dietary recommendations.
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Nurses must be diligent to avoid oversimplified opinions about a patient, which is known as:
1. Ethnocentrism. 2. Stereotyping. 3. Racism. 4. Prejudice.
An IV of Demadex 250 mg/250 mL of D5W is infusing at 5 mL/hr. What dose is the client receiving? _______________
a. 10 mg/hr b. 50 mg/hr c. 5 mg/hr d. 100 mg/hr
The nurse is admitting a patient to the unit with a diagnosis of ataxia-telangiectasia for clinical manifestations of the disorder. A clinical manifestation of ataxia-telangiectasia is ataxia
The nurse would recognize that the patient is exhibiting ataxia when she assesses the presence of what? A) Peripheral edema B) Uncoordinated muscle movement C) Vascular lesions caused by dilated blood vessels D) A condition marked by development of urticaria
The nurse notices that the patient must hold the newspaper at arm's length and squint to read. The most likely diagnosis will be:
a. myopia. b. hyperopia. c. presbyopia. d. astigmatism.