When planning care to manage osteoporosis in an African American client, which of the following must be taken into consideration?
1. The daily dietary intake contains bread at every meal.
2. Snacks often replace meals beginning in adolescence.
3. Lactose intolerance may be a factor.
4. Pork is not allowed in the diet.
3
Rationale 1: Bread and pork are factors to be considered when providing nutritional care to the Arab American.
Rationale 2: Snacking during adolescence is a health concern for the Appalachian population.
Rationale 3: Lactose intolerance is estimated to affect 75% of the African American population. This factor may impact dietary choices available and recommended to manage osteoporosis.
Rationale 4: Bread and pork are factors to be considered when providing nutritional care to the Arab American.
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When examining a 16-year-old male teenager, the nurse should:
a. Discuss health teaching with the parent because the teen is unlikely to be interested in promoting wellness. b. Ask his parent to stay in the room during the history and physical examination to answer any questions and to alleviate his anxiety. c. Talk to him the same manner as one would talk to a younger child because a teen's level of understanding may not match his or her speech. d. Provide feedback that his body is developing normally, and discuss the wide variation among teenagers on the rate of growth and development.
A pediatric nurse is teaching the parents of a child with a sleep disorder about sleep hygiene. She suggests that the parents:
Select all answers that apply. A) do not offer bedtime snacks. B) cut down on fluids before bedtime. C) allow the child to set his own bedtime routine. D) avoid a high level of activity and TV before bedtime.
A family is in crisis about the steps to take after a family member is critically ill. When an ethics committee meets, who will be allowed to discuss the ethical dilemma? Select all that apply
1. The client's appointed advocate 2. The client's family 3. Other nurses on the unit 4. The nurse assigned to the client 5. The care provider
Which situation represents an exception to the blame-free environment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A nurse routinely changes nursing notes after a client is discharged. 2. A physician order is overlooked on a newly admitted client. 3. An unlicensed assistant drops a client. 4. A nurse does not complete an incident report after a medication error. 5. A nurse miscounts narcotics.