A community health nurse is conducting a home visit to a male patient who has Parkinson's disease (PD). The nurse has been working closely with the patient and his wife to prevent the many possible complications of the disease
What recommendation should the nurse make to improve nutrition?
A) Have the patient drink nutritional supplements in lieu of solid food
B) Replace complex carbohydrates with simple carbohydrates
C) Allot a large amount of time for each meal of the day
D) Have the patient drink fluids before and after meals but not during meals
C
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Displaying her hands, a patient asks, "Do you think my liver is OK? Look at all these liver spots!" What is the most appropriate nursing response?
a. "The spots could mean something is wrong; I will make a note of it." b. "The spots are normal aging changes and have nothing to do with your liver." c. "Have you recently been exposed to hepa-titis?" d. "Don't worry about them. They will fade during the winter."
A critically ill patient is admitted for the treatment of sepsis. The right arterial BP is 90/60, the central venous pressure is 2, and the pulmonary arterial pressure is 20/8. What assessment can the nurse make from this data?
1. The patient may require additional fluids because all pressures are low. 2. The patient is stable and should continue to be monitored hourly due to the presence of sepsis. 3. The pressure in the lungs is high even though the other pressures are low. The doctor should be notified and STAT X-ray expected. 4. The pressure in the right atrium is 2, which is inaccurate. The line should be flushed and re-zeroed before an evaluation can be made.
An older adult states, "I just feel so full so fast, I can't eat any more." Which of the following responses is most appropriate?
A) "All of us feel that way after a meal." B) "Make an appointment with your health care provider." C) "Slower emptying of your stomach may be the cause." D) "This happens when you have gall stones."
You are on scene with a patient who is a quadriplegic. Which of the following would you expect to see in this patient?
A) An inability to feel pain B) Visual disturbances C) Speech abnormalities D) Low blood pressure