The client most likely to benefit from use of medium chain triglycerides is one who
a. has essential fatty acid deficiency.
b. has malabsorption because of removal of part of their small intestine.
c. needs to gain weight after surgery and chemotherapy to treat bowel cancer.
d. has high serum total cholesterol and low-density lipoprotein cholesterol levels.
B
Medium chain triglycerides are beneficial for patients with malabsorption because they are rela-tively easily absorbed. They do not contain essential fatty acids. They contain the same amount of energy as other fatty acids and so would not be especially beneficial for a client who needs to gain weight. They do not influence serum cholesterol levels.
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A nurse is participating in a baccalaureate course. For the class, she has to attend the legislative session regarding the new role of medication assistants. Nurses should be involved in shaping public policy primarily because:
a. Involvement will enable nurses to take over the healthcare system at some point in the future. b. Other healthcare professions are less con-cerned about the essential needs of clients. c. Such activities are important career build-ers for nurses who seek top-level executive positions. d. They are closest to the front line of health care and see how it affects clients and families.
When documenting suspected abuse of an older patient, it is important that the nurse document:
1. The nurse's subjective data and opinion. 2. The nurse's suspicion and personal conclusions. 3. Photographic evidence provided by the family and friends. 4. Objective data of the older patient's reaction when the suspected abuser is present.
Unlicensed assistive personnel are caring for a client's ears. What information should be reported to the nurse?
1. Excessive earwax 2. Loud talking 3. Presence of a hearing aid 4. Presence of any drainage
A parent whose child received a fourth DTaP at a recent 15-month visit calls the primary care NP to report that the child is fussy, has a temperature of 38.3° C, and has redness and swelling at the injection site. The NP should:
a. admit the child to the hospital for observation of developing symptoms. b. flag the child's chart to avoid administration of pertussis vaccine in the future. c. report these adverse reactions to the Vaccine Adverse Event Reporting System (VAERS). d. instruct the parent to give the child acetaminophen as needed for fever or localized discomfort.