A pregnant client is planning to breastfeed after delivery. How many additional calories per day should the nurse instruct the client to consume during the first 6 months of breastfeeding?
a. 430 kcal
b. 500 kcal
c. 630 kcal
d. 730 kcal
b. 500 kcal
During the first 6 months after birth, the energy cost for milk output is estimated as an extra 500 kcalories/day after accounting for maternal fat stores to contribute almost 200 additional kcalories/day toward that need. The number of calories decreases to 400 kcalories/day after 6 months of lactation. The client does not need to consume 630 or 730 calories a day during breastfeeding.
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A community health nurse is reviewing the effects of the Americans with Disabilities Act of 1990. Which of the following would the nurse identify as a major result of this legislation?
A) Employers with five or more employees must abide by the American with Disabilities Act. B) Architectural barriers must be removed from pathways so that they are accessible by wheelchair. C) The disabled are eligible to receive telephone services in their home at no cost to them. D) Individuals with disabilities who wish to vote must be provided transportation to polling places to vote.
The nurse is caring for four clients who have had surgery and knows that which client would benefit the most from the application of a spiral elastic bandage?
A. The client who had a breast reduction. B. The client who had a hip replacement. C. The client who had ankle surgery. D. The client who had a shoulder replacement.
Why might a healthcare provider choose narrative charting instead of using forms or checklists?
a. Narrative charting tracks the client's changing health status as it occurs. b. Free form documentation is inconsistent among healthcare providers. c. Less charting time by healthcare provider is needed for narrative charting. d. Less interdisciplinary discussion occurs with the narrative style of charting.
Which is the reason for a healthcare provider to recommend that a preschool-age male client with a documented hearing loss should attend preschool at least 2 days per week?
1. Help the child recognize his hearing deficit. 2. Increase the child's socialization skills. 3. Improve the child's immunity by increased exposure to organisms. 4. Teach other children that children are different.