The nurse caring for a patient with decubitus ulcers should monitor dietary intake of vitamins and minerals since they play an important role in:
1. Maintaining fluid balances.
2. Promoting weight gain.
3. Each stage of the healing process.
4. Replacement of muscle mass.
3
Rationale: Vitamins and minerals play an important role in each stage of the healing process and are necessary to promote wound healing. Vitamins and minerals do not promote weight gain or play a role in maintaining a fluid balance in the body. Proteins are needed for replacement of lean muscle mass.
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A client diagnosed recently with AD is prescribed donepezil (Aricept). The client's spouse inquires, "How does this work? Will this cure him?" Which is the appropriate nursing response?
1. "This medication delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease." 2. "This medication encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease." 3. "This medication delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease." 4. "This medication encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."
The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. The nurse will monitor this child for
1. thrombocytopenia and leukocytosis. 2. oliguria and altered levels of consciousness.respiratory distress and cyanosis. 4. upper-extremity edema and neckvein distension.
A community/public health nurse is caring for clients living at a local homeless shelter. Which of the following would be most likely expected of many of the clients?
a. Many suffer from alcohol or drug abuse or are mentally ill. b. Many are extremely violent and dangerous to be around. c. Many receive free care at the local public health clinics. d. Many suffer from acute illnesses resulting from exposure to weather extremes.
The patient is being admitted to the emergency department with reports of shortness of breath. The patient has had chronic lung disease for many years but still smokes. What will the nurse do?
a. Allow the patient to breathe into a paper bag. b. Use oxygen cautiously in this patient. c. Administer high levels of oxygen. d. Give CO2 via mask.