The nurse is teaching an older patient with diverticulitis on foods that could precipitate a painful attack. How should the nurse instruct this patient?
1. Avoid foods with seeds.
2. Restrict the intake of high fiber foods.
3. Limit the intake of eggs and dairy products.
4. Eat whole grains with sesame seeds for added protein.
1
Rationale: The patient should be instructed to avoid foods that precipitate painful attacks such as foods with seeds like popcorn, sesame seeds, and poppy seeds. These seeds can become trapped in the diverticula and trigger an infection and inflammatory response.
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An IV of 1,000 mL D5W has been ordered to be infused at 100 mL/hr. The administration set delivers 20 gtt/mL. The IV was hung at 10:00 pm. At 2:00 am, you check the IV, and 600 mL have infused. Recalculate the gtt/min for the remaining solution. _____
a. 25 b. 17 c. 22 d. 33
The nurse is interacting with a group of young adults in a community center and concludes that there is ageism in the thinking of some participants. Which statement caused the nurse to come to this conclusion?
1. "I think older people can teach the younger generations a great deal." 2. "My grandmother plays bridge once a week." 3. "My grandfather likes to continue playing golf." 4. "I don't spend much time with the elderly because they are very needy."
The nurse recognizes that which assessment observation of a comatose patient has the greatest implications?
1. Both arms are extended and adducted, with the palms facing down. 2. Fasciculational twitching occurs in the small muscle groups of both arms. 3. Muscles of the entire upper extremities are flaccid bilaterally. 4. Arms, wrist, and fingers are flexed and adducted.
The nurse has detected repetitive variable decelerations in the fetal heart rate. What should the nurse do first?
A. Give the laboring client oxygen via nasal cannula. B. Prepare the room and client for imminent delivery. C. Reposition the client onto her left side. D. Start a large-bore IV of lactated Ringer's solution.