An elderly patient has a decubitus ulcer with drainage, dysphagia, and immobility. She consumes less than 300 calories per day and has a large amount of interstitial fluid. She is in a state of
A) Positive nitrogen balance
B) Anabolism
C) Negative nitrogen balance
D) Digestion
Ans: C
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After teaching a client who has alcohol-induced cirrhosis, a nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
a. "I cannot drink any alcohol at all anymore." b. "I need to avoid protein in my diet." c. "I should not take over-the-counter medications." d. "I should eat small, frequent, balanced meals."
The physician orders a hypertonic IV for an extremely edematous patient. The nurse anticipates that the IV preparation will be:
1. D5W in normal saline. 2. lactated Ringer's solution. 3. D5W in 0.25 normal saline. 4. 10% glucose in water.
A patient prescribed ezetimibe (Zetia) has developed swelling around the eyes, nose, and lips. What is your priority action at this time?
a. Elevate the head of the bed. b. Notify the prescriber. c. Assess the patient's airway. d. Check the patient's blood pressure.
The nurse is helping a 56-year-old homeless woman develop discharge plans. Which of the following would be most appropriate to include in the woman's discharge plans?
A) Contacting the woman's daughter as a possible source of support following the client's discharge B) Contacting the woman's parents as a possible source of support following the client's discharge C) Providing the woman with a three-ring binder full of resources that will promote independent living D) Providing the woman with telephone numbers of various health care insurance companies