The mother of a 7-year-old boy takes him for a check-up at the local clinic. The nurse notes that the child has gained 4.9 pounds and has grown 2.5 inches in one year. The nurse will:
a. Recommend that the child be placed on a low-fat, high-protein diet.
b. Counsel the mother to increase the amount of calcium in the child's diet.
c. Ask the mother to return with the child next week for a more comprehensive growth and development study.
d. Inform the mother that the child's developmental rate is within the expected ranges for his age.
ANS: D
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The nurse knows that patients who are in shock have special nutritional needs; these special nutritional needs are directly related to the:
A) Use of albumin as a food source by the body because of the need for increased caloric intake B) Loss of fluids due to stress ulcers and decreased stomach acids due to increased parasympathetic activity C) Release of catecholamines that creates an increase in metabolic rate and caloric requirements D) Increase in gastrointestinal function during shock and the resulting diarrhea.
A client has small cell carcinoma of the lung. The nurse should anticipate providing which intervention to the client?
a. Educating the client and family about planned chemotherapy b. Instructing the client on home care of a chest tube system c. Preparing the client for lung resection d. Providing a referral to hospice
A patient, diagnosed with acute pancreatitis, is nauseated and frequently vomits. The nurse realizes the nursing diagnosis appropriate for the patient's problem at this time would be
1. altered comfort. 2. acute pain. 3. risk for injury. 4. risk for infection.
The nurse clarifies the purpose for a visit during which phase of the home visit process?
a. Initiation b. Pre-visit c. In-home d. Post-visit