The nurse is working with a client who weighs 165 pounds (75 kg). How many grams of protein would the nurse suggest the client consume in an average day?
1. 60 grams
2. 75 grams
3. 100 grams
4. 120 grams
1
Rationale: The average adult needs only 0.8 gm/kg/day to keep the body in a state of protein equilibrium; therefore 60 grams (75 kg x 0.8 gm/kg/day = 60 grams) should be adequate as long as the client is in good health.
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Which of the following statements is true regarding the internal structures of the breast? The breast is made up of:
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When explaining to a patient why he only had minimal muscle damage following 99% occlusion of the left anterior descending artery, the nurse will explain this is primarily due to
A) the possibility that the person has elevated INR levels that prevent blood from backlogging in the vessel. B) development of collateral circulation that builds channels between some of the smaller arteries usually when the flow is decreased gradually. C) good genetic makeup that allows occluded arteries to keep vasodilating to meet metabolic needs. D) the release of substances formed by special glands that transport the blood cell-by-cell through smaller spaces.
A child is hospitalized with heart failure and is receiving furosemide (Lasix). Which nursing action is the priority?
A. Administer oxygen. B. Encourage rest. C. Provide meticulous skin care. D. Monitor brain natriuretic peptide.
Nurses identifying outcomes and related nursing interventions must refer to the standards and agency policies for setting priorities, identifying and recording expected client outcomes,
selecting evidence-based nursing interventions, and recording the plan of care. Which of the following are recognized standards? Select all that apply. A) Professional physicians' organizations B) State Nurse Practice Acts C) The Joint Commission D) The Agency for Health Care Research and Quality E) The Patient Health Partnership