A client visits an urgent care center and tells the nurse that he has had nausea and vomiting for 3 days and thinks he has the flu. The nurse should assess the client for symptoms of:
1. adequate carbohydrate intake.
2. vitamin C deficiency.
3. chronic fatigue.
4. dehydration.
Answer: 4
1. Adequate carbohydrate intake is not a priority.
2. Vitamin C intake is not a priority.
3. Chronic fatigue is not a priority.
4. The loss of fluid and electrolytes though vomiting puts the client at risk for dehydration.
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The nurse working in a pediatrician's office admits a 14-month-old child for a well-child visit. When questioned about any concerns, the mother says she has been trying to toilet-train her son and it doesn't seem to be working
The mother asks the nurse for suggestions on how to improve outcome. The nurse's best response is: 1. Children do not have the attention span to learn toilet training until 3-4 years of age. 2. Children do not have the neurological maturity to learn toilet training until 18-36 months of age. 3. Boys are harder to toilet-train than girls, and the mother must be strict and sit him on the toilet until he eliminates. 4. Positive reinforcement is most effective, but the mother must be persistent until the child learns.
The nurse is teaching a client with diabetes mellitus how to prevent or delay chronic kidney disease (CKD). Which client statements indicate a lack of understanding of the teaching? (Select all that apply.)
a. "I need to decrease sodium, cholesterol, and protein in my diet." b. "My weight should be maintained at a body mass index of 30." c. "Smoking should be stopped as soon as I possibly can." d. "I can continue to take an aspirin every 4 to 8 hours for my pain." e. "I really only need to drink a couple of glasses of water each day."
The nurse is preparing to examine several clients in the clinic setting. Which of the following clients would need the greatest degree of special consideration during a physical examination?
1. 59-year old with flu symptoms 2. 3-year-old child in for a well check-up 3. 17-year old who complains of fatigue 4. 68-year old with chronic lung disease
Select the nursing action that would best help reduce the cramping experience by a client who was receiving intermittent feedings though a gastric tube (PEG tube)
a. Warm the feeding to near body tempera-ture prior to administration. b. Elevate the client's head to 35 to 45 de-grees during feedings. c. Encourage the client to suck on a hard candy 5 to 10 minutes prior to the feeding. d. Assess the tube for placement prior to each feeding.