"Imbalanced nutrition: less than body requirements" is the nursing diagnosis applicable to the patient with progressive systemic sclerosis (PSS). The nurse selects the most important point to teach, which is:

1. eat three large meals spaced throughout the day.
2. schedule rest periods to prevent overtiring.
3. severe stress can trigger vasospasm.
4. eat smaller, more frequent meals.


4
Smaller, more frequent meals may be better tolerated by the patient who has esophageal in-volvement.

PTS: 1 DIF: Cognitive Level: Analysis REF: 910
OBJ: 8 TOP: Progressive Systemic Sclerosis (PSS)
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity

Nursing

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Nursing

A competent older adult client has a living will that expresses the client's desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive and plan to contest the living will. Which nursing action

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The nurse instructs the client to prevent air embolism with total parenteral nutrition (TPN) by performing the Valsalva's maneuver. The nurse instruct the client to take a breath, then:

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Nursing

During a community meeting, a client raises the concern that noise at the nurses' station keeps him awake at night

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Nursing