The nurse is reviewing the nutritional status for a group of patients. In which patients would a feeding tube most likely be beneficial? (Select all that apply.)
a. An 80-year-old patent with dementia
b. A 76-year-old patient with terminal cancer
c. A 65-year-old patient recovering from pneumonia
d. A 90-year-old patient with diabetes and heart failure
e. A 55-year-old with esophageal cancer who is receiving radiation therapy
f. A 55-year-old patient receiving chemotherapy and experiencing loss of appetite
ANS: C, E, F
Patients who are expected to recover from an acute process or are experiencing an intervention that currently complicates oral intake would benefit the most from a feeding tube. This includes the patient recovering from pneumonia, radiation treatment for esophageal cancer, and receiving chemotherapy. B, D, and E. Using a feeding tube for a patient with dementia will not improve quality of life. The patients with terminal cancer, heart failure, and diabetes are not going to survive and tube feeding can increase complications and reduce comfort at the end of life.
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When reviewing the Industrial Revolution as it relates to the evolution of community health nursing, which of the following would be most important?
A) Lower mortality rates B) Control of diseases C) Decrease in mental illness D) Poor institutional conditions
The nurse should teach a patient that one of the steps of a complete breast self-examination is to examine her breasts while standing in front of a mirror
a. with both arms raised and then with her hands pressed into her hips. b. with her hands at her sides and then with hands behind her head. c. with both arms raised and leaning forward. d. with her hands at her sides, with arms raised, and with hands pressed into her hips.
Which outcome would the nurse recognize as evidence for meeting the desired outcome for a patient with aortic regurgitation and a nursing diagnosis of activity intolerance?
a. Completed activities of daily living with assistance b. Engaged in desired daily and social activities c. Reported no longer participates in gardening hobby d. Stated maintained bedrest to reduce fatigue
The nurse and the nursing assistant are assisting a postoperative patient to turn in the bed. To assist in minimizing discomfort, which instruction should the nurse provide to the patient?
a. "Close your eyes and think about something pleasant." b. "Hold your breath and count to three." c. "Hold my shoulders with your hands." d. "Place your hand over your incision."