The pregnant client cannot tolerate milk or meat. What would the nurse recommend to the client to assist in meeting protein needs?
1. Wheat bread and pasta
2. Ice cream and peanut butter
3. Eggs and tofu
4. Beans and potatoes
3
Rationale:
1. Wheat bread and pasta are not sources of complete protein.
2. Ice cream is a milk byproduct, and would not be tolerated by this client.
3. The best selection of food choices that are nondairy and complete proteins alone are eggs and tofu.
4. Beans and potatoes would not provide the client with adequate protein.
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A client is hospitalized with a second episode of pulmonary embolism (PE). Recent genetic testing reveals the client has an alteration in the gene CYP2C19. What action by the nurse is best?
a. Instruct the client to eliminate all vitamin K from the diet. b. Prepare preoperative teaching for an inferior vena cava (IVC) filter. c. Refer the client to a chronic illness support group. d. Teach the client to use a soft-bristled toothbrush.
The triage nurse notes upon assessment in the emergency room that the patient with anxiety is hyperventilating. The nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?
A) Respiratory acidosis B) Respiratory alkalosis C) Increased PaCO2 D) Central nervous system (CNS) disturbances
The nurse has a thorough understanding of the planning phase of the nursing process when stating:
a. "Patients should be included in the planning process." b. "Patient families should not interfere in the planning process." c. "The planning process should focus on short-term goals only." d. "Planning is the first phase of the nursing process."
The nurse clarifies that a postmenopausal woman who is not taking hormone replacement therapy should take ____ mg elemental calcium on a daily basis
1. 1000 2. 1500 3. 10,000 4. 15,000