The nurse reviews the Dietary Reference Intakes (DRIs) for a young adult client. Which nutrients have significant changed from adolescence for this client?
a. Protein, magnesium, and folate
b. Calcium, vitamin B6, vitamin D
c. Vitamin A, vitamin K, and vitamin C
d. Magnesium, vitamin A, and phosphorous
b. Calcium, vitamin B6, vitamin D
The Dietary Reference Intakes for adults between 19 years and 50 years do not change significantly form adolescence with the exception of the recommendations for calcium, phosphorus, and iron. Daily calcium recommendations decrease to 1000 mg from 1300 mg as an adolescent, and phosphorus recommendations drop to 700 mg from 1250 mg. Iron recommendations increase in the adult female.
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When preparing for a performance appraisal, a nurse is asked to reflect upon how he has demonstrated respect for cultural diversity in his practice. Which statement reflects a good understanding of cultural competence in his practice?
a. He says he is respectful of his colleagues and does not identify when they are discriminatory, as this is up to them to determine. b. He says he is respectful of patients when they are not of the same cultural background as he is, but refuses to care for the patient. c. He says he has participated in a learning session on communication skills and cultural norms. d. He says he has read about learning sessions on communication skills and cultural norms.
When preparing for and performing an assessment of the postpartum client, which of the following would the nurse do? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Ask the client to void before assessing the uterus. 2. Inform the client of the need for regular assessments. 3. Defer client teaching to another time. 4. Perform the procedures as gently as possible. 5. Take precautions to prevent exposure to body fluids.
At 31 weeks' gestation, a patient with a history of preterm
birth reports cramps, vaginal pain, and low, dull backache accompanied by vaginal discharge and bleeding. The cervix is 2.1 cm long; there is fetal fibronectin in her cervical secretions, and the cervix is dilated 3 to 4 cm. For what should the nurse prepare this patient? A) Bed rest and hydration at home B) Hospitalization, tocolytic therapy, and IM corticosteroids C) An emergency cesarean section D) Careful monitoring of fetal kick counts
A patient with a tapeworm infestation has been admitted to the hospital. The patient also has a low blood count. Which of the following is most likely to be suspected by the health-care professional?
A. The tapeworm is robbing the body of cofactors needed to produce red blood cells. B. The tapeworm is producing a toxin that is destroying red blood cells. C. The tapeworm may be causing hemorrhage by perforating the intestines. D. There is also a serious infection in addition to the tapeworm infestation.