Your patient has a stage III pressure ulcer. What would be the best meal choice for this patient?
A) Cheeseburger and fries
B) Skim milk, oatmeal, and whole wheat toast
C) Steak, baked potato, spinach and strawberry salad
D) Eggs, bacon, hash browns, and an apple
Ans: C
Feedback: The patient should be encouraged to eat foods high in protein; carbohydrates; and vitamins A, B, and C. Options A, B, and D do not have the appropriate nutrients needed by this patient.
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As the nurse admits an older woman to a long-term care facility from her home of 50 years, she mistakes the nurse for her daughter. Which diagnosis does the nurse use to plan care for this woman?
a. Hypoxia as a result of chronic disease b. Relocation stress syndrome c. Alzheimer disease (AD) d. Attention-seeking behavior
The nurse provides patient teaching before a lumbar puncture. Which information does the nurse include about patient activity during the procedure?
a. "We'll want to know if you are hurting.". b. "I'll place you in a semi-Fowler's posi-tion.". c. "It is essential to remain still during the procedure.". d. "We'll restrict your fluids after the test is done.".
At the family planning clinic, a 19-year-old woman who has recently become HIV positive is given counseling by the clinic nurse
Identify the instructions by the nurse that are most effective in preventing the transmission of HIV during sexual intercourse. a. You can have unprotected sex if both you and your partner(s) are HIV positive. b. The use of contraceptive measures, such as birth control pills and hormone injections, will limit the spread of the virus. c. The only way to prevent the transmission of HIV is to have an IUD placed. d. Using a latex condom with a potent sper-micide during intercourse is one of the best ways to prevent the spread of HIV.
A nurse has been working with a family at the community health office and is alert to signs of family violence. Which of the following would the nurse most concerning?
1. The baby always seems to have a cold. 2. One of the children never speaks and seems "on guard" when in the presence of a parent. 3. The family's clothes are relatively clean, but the children usually have some kind of dirt stain on their shirt or pants. 4. The family does not have a regular physician.