A patient with hypertension is placed on a low-sodium diet. The nurse recognizes that further teaching is necessary if the patient chooses which of the following menus?
a. Grilled chicken, boiled potatoes, frozen green beans, and gelatin dessert
b. Pork chop, steamed brown rice, and fruit cocktail
c. Tomato soup, grilled cheese sandwich, salad, and chocolate chip cookie
d. Broiled salmon, mashed sweet potato, broccoli, and pumpkin pie
ANS: C
Processed cheeses and canned soups are high in sodium. Poultry, fish, fruits, and fresh vegetables have small amounts of sodium.
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The patient asks for pain medication after abdominal surgery. By which means would the nurse determine the patient's level of pain to know how much medication to administer?
a. Have the patient rate the pain on a scale. b. Give the medication that is ordered. c. Start pain medication with the smallest dose possible. d. Reposition the patient and assess the pain.
The nurse realizes that the ostomy with the most formed drainage would be the ostomy located in the:
a. ileum. b. ascending colon. c. transverse colon. d. descending colon.
The nurse is aware that the child with juvenile idiopathic arthritis (JIA) is at risk for joint destruction when:
a. The child gives up active exercise b. Streptococcus or Staphylococcus invade the synovial fluid c. The joints react to being overstressed by weight increase d. Cartilage is eroded by a thickening synovial membrane
Of the patients listed below, which would be a candidate for nasoenteric feeding tube placement?
a. Post–motor vehicle accident victim with a broken nose and jaw b. Patient with a bleeding ulcer and possible esophageal varices c. Elderly patient with a diagnosis of failure to thrive and an inability to chew d. Patient with an esophageal tumor