The nurse is developing a care plan for a 4-year-old diagnosed with cystic fibrosis, and appropriately creates which of the following goals?
1. Child and parents will demonstrate proper gluten-free food choices by discharge.
2. Child and parents will demonstrate proper low-sodium food choices by discharge.
3. Parents will explain methods of encouraging social interaction while minimizing risk of infection.
4. Child will lose two pounds of weight per week until normal range achieved.
3
Rationale: Children with cystic fibrosis need normal social interaction with other children, but must avoid those with contagious diseases in order to reduce the risk of infection, which can be challenging for parents. So the nurse must help them consider strategies to achieve this goal. It is unlikely a 4-year-old can make appropriate food choices, and the child with cystic fibrosis is challenged to meet adequate weight gain requirements, rarely facing a need to lose weight.
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When measuring blood pressure, the nurse identifies the systolic blood pressure at the pressure when which of the following occurs?
1. Korotkoff's sounds develop a muffled whooshing quality. 2. The first of at least two tapping sounds are heard in phase 1. 3. The first sound is heard during phase 1. 4. A muffled blowing quality
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1. infertility. 2. osteoporosis. 3. Korsakoff's syndrome. 4. cirrhosis.
The nurse is concerned that the spouse of a recently deceased client is experiencing spiritual distress. What did the nurse observe to come to this clinical decision?
1. Expressing anger toward God 2. Crying softly in the client's room 3. Hugging family members 4. Talking with caregivers about the client's personal items 5. Refusing comfort from family