A patient, age 59, has lost 10 pounds in the first 3 weeks of her radiation therapy and does not eat because nothing tastes good. Which is an appropriate nursing diagnosis for her?
a. Ineffective health maintenance related to lack of knowledge of nutritional requirements during radiation therapy
b. Risk for infection related to poor nutrition
c. Imbalanced nutrition: less than body requirements, related to anorexia
d. Ineffective therapeutic regimen management related to refusal to eat
C
Nursing diagnosis includes imbalanced nutrition: less than body requirements related to anorexia from changes in taste and smell.
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The process for collecting a blood specimen for measuring blood glucose levels begins by asking the patient to hold the selected arm at his or her side for 30 seconds. From what anatomic location is the specimen obtained?
a. Tip of the finger b. Cubital fossa c. Side of the finger d. Center of the thumb
What characteristics are typical for a caregiver of an aging family member? (Select all that apply.)
a. 32 years of age b. Female c. Having full-time employment d. Having a care recipient older than 70 e. Giving care for an average of 18 years
The parents of a 12-month-old child ask the nurse if the child can eat hot dogs as do their other children. The nurse's reply should be based on what?
a. The child is too young to digest hot dogs. b. The child is too young to eat hot dogs safely. c. Hot dogs must be sliced into sections to prevent aspiration. d. Hot dogs must be cut into small, irregular pieces to prevent aspiration.
A child is scheduled for tests to diagnose pyloric stenosis. What is the pathophysiology of this disorder?
A) A partial or complete intestinal obstruction occurs B) A thickened, elongated muscle causes an obstruction at the end of the stomach C) There are recurrent paroxysmal bouts of abdominal pain D) In this disorder the sphincter that leads into the stomach is relaxed