The client's weight is appropriate for his height. His laboratory values and other assessments reflect normal nutritional status. However, he has told the nurse, "I probably eat a little too much red meat
And what is this I hear about needing omega 3 oils in my diet? I don't like to take supplements, and I think I could really improve my nutrition." Which of the following nursing diagnoses should the nurse use?
a. Balanced Nutrition
b. Possible Imbalanced Nutrition: Less Than Body Requirements
c. Risk for Imbalanced Nutrition: Less Than Body Requirements
d. Readiness for Enhanced Nutrition
ANS: D
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A patient has a nursing diagnosis of "Noncompliance with medication regimen related to a belief that God will heal her and that it would show a lack of faith to take the medications."
The nurse and a clergyman have spent some time discussing spiritual and treatment issues with the patient. Which of the following would indicate that progress is being made toward achieving compliance with health care therapy? (Choose all that apply.) The patient says: 1) "I will try to pray more often for stronger faith that God will heal me." 2) "Let me think about it until tomorrow; I may see my way to taking those pills then." 3) "You know, I've known some very holy people who were not cured by God." 4) "There is no confusion in my mind as to the right thing for me to do."
The client with laryngeal trauma who is receiving high-flow oxygen therapy by Venturi mask is now experiencing dyspnea and has sternal retractions. What is the nurse's best first action?
A. Document the observation as the only action. B. Raise the head of the bed to 90 degrees. C. Assess bilateral breath sounds. D. Notify the trauma team.
The school nurse finds a child's hearing at between 70 dB and 90 dB in a hearing screening test. If further testing confirms this hearing level, this child is most likely considered to be:
a. hard of hearing c. normal b. deaf d. near deaf
Select the statement that brings out the difference between central diabetes insipidus and nephrogenic diabetes insipidus.
A. Central diabetes insipidus is caused by a resistance to ADH in the kidney, whereas nephrogenic DI is caused by a decreased secretion of ADH. B. Central DI is caused by a decreased secretion of ADH, whereas nephrogenic DI is caused by a resistance to ADH in the kidney. C. Central diabetes insipidus is caused by a resistance to glucose in the blood, whereas nephrogenic DI is caused by a decreased secretion of insulin. D. None of these are correct.