The nurse is evaluating the client's knowledge related to healthy food choices appropriate for a weight-loss diet. The nurse recognizes a need for further education when the client selects which of the following from the dinner menu?
1. Pork sparerib and garlic mashed potatoes
2. Grilled tuna and green salad
3. Pasta with olive oil, tomatoes, and garlic
4. Baked rosemary chicken and sautéed spinach
Pork sparerib and garlic mashed potatoes
Rationale: Pork sparerib and garlic mashed potatoes is a high-calorie meal selection and would suggest needed reinforcement of healthy, low-calorie food choices. The remaining options reflect low-calorie food selections.
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When appraising the success or failure of this change in treatment and the patient's ability to fight infection, the nurse should prioritize which of the following laboratory values? A) The patient's C-reactive protein levels B) The patient's erythrocyte sedimentation rate (ESR) C) The patient's viral load D) The patient's CD4 count
A nursing student has been learning how to apply the nursing process in clinical situations. This morning, the student has just completed a head-to-toe assessment of a patient who has a complex medical history
What is the next step in the student's application of the nursing process? A) Perform another assessment to identify changes from the previous assessment B) Teach the patient how he or she can best maintain health. C) Perform interventions that best meet the patient's needs. D) Identify nursing diagnoses that apply to the patient.
A patient hospitalized for treatment of a severe urinary tract infection may be developing septic shock. The nurse would monitor for the development of which finding associated with early septic shock?
1. Cold extremities 2. Increase in serum lactate levels 3. Decreased SCVO2 4. Widening of pulse pressure
A child is admitted to the hospital unit for physical injuries. The mother's boyfriend is suspected of child abuse. Which is the primary role of the nurse in addition to reporting the information to the proper authorities?
1. Gathering information about how the injuries occurred. 2. Collecting evidence against the suspected abuser. 3. Encouraging the child to talk about his experience. 4. Protecting the child from further injury.