The nurse working in an oncology clinic is caring for a client diagnosed with breast cancer. The client reports anorexia and weight loss. The client's serum albumin is low, and there is visible muscle and fat wasting
Which term will the nurse use when documenting this client's appearance?
1. Malnutrition
2. Undernutrition
3. Overnutrition
4. Protein-calorie malnutrition
Correct Answer: 4
Although this client has a form of malnutrition, or undernutrition, it is best described as protein-calorie malnutrition, which can result in longer hospital stays and increased complications. This client does not have overnutrition.
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Place the following steps in ethical decision making in the order in which they should be carried out:
1 . Identify the health problem. 2 . Implement decisions. 3 . Identify the decision maker. 4 . Define the ethical issue. 5 . Evaluate actions and decisions. 6 . Gather additional information. 7 . Examine moral and ethical principles. 8 . Explore alternative options. a. 1, 4, 6, 7, 8, 3, 2, 5 c. 1, 4, 2, 3, 5, 6, 7, 8 b. 1, 4, 3, 2, 5, 6, 7, 8 d. 4, 1, 3, 2, 5, 6, 7, 8
An older patient is recovering from surgery to repair a fractured hip. What interventions will the nurse use to prevent the development of a pressure ulcer in this patient? Standard Text: Select all that apply
1. Avoid sitting unless for meals. 2. Use pillows to protect the skin. 3. Reposition the patient every 2 hours. 4. Keep the skin dry with frequent bathing. 5. Encourage independent position changes.
A client calls the fertility clinic to schedule a laparoscopy. The nurse instructs the client to:
1. Stay on bedrest 48 hours after the procedure. 2. Expect to have shoulder and arm pain. 3. Purchase a rectal tube to relieve the gas. 4. Lie on her back to relieve the gas pain.
The nurse is caring for a 2-month-old with cerebral palsy. The infant is limp and flaccid with uncontrolled, slow, worm-like, writhing, and twisting movements. Which of the following would the nurse use when documenting these observations?
A) Spastic B) Athetoid C) Ataxic D) Mixed