MC Clinical Situation: You have just completed an admission assessment on the following client, and based on the collected data, you begin the client care plan
The client is a 39-year-old single male admitted for upper right-quadrant pain following a week-long episode of flu-like symptoms. He has not eaten for 7 days and presents with signs and symptoms of dehydration and malnutrition. He has not been out of bed during the week. He lives alone and states he either buys frozen foods or eats in fast-food restaurants. The question below refers to the client care plan. (When filling in the content in the care plan, remember that the material is not necessarily related. This exercise is designed to determine your care plan knowledge base, not your medical knowledge.) Based on the collected data, select the letter of the short-term goal that is the most appropriate. Write the selected short-term goal in the appropriate section of the care plan. A. Improved skin turgor within 24 hours.
B. Respiration unlabored and 20/minute.
C. Able to ambulate without assistance.
D. Noncompliance related to poor dietary habits.
A
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The main action of vitamin D is the movement of which?
a. Calcium and phosphorus b. Potassium and sodium c. Red and white blood cells d. Creatinine and BUN
The nurse is performing an examination of the thorax and lungs on a 30-year-old patient. Which of the following examinations does the nurse evaluate to be a normal adult finding?
a. The thorax is barrel shaped. b. The costal margin is greater than 90?. c. The accessory muscles are used during inspiration and expiration. d. The ribs articulate with the sternum at a 45? angle.
Many people who do not have health insurance choose to
A. order medications online B. purchase medications from other countries C. order medications through mail-order catalogs D. all of the above
The cause of multiple sclerosis is best described as:
A. a destructive process of the nerve fiber protecting myelin. B. an intracranial viral infection. C. inflammation of the brain and/or spinal cord. D. an autoimmune disorder that destroys muscle fibers.