The client recovering from an esophagogastrostomy is preparing for discharge. What instructions should be included in the dietary teaching for this client?

A. "Eat only three meals per day."
B. "Lie flat after meals to prevent vomiting."
C. "Drink fluids between, rather than with, meals."
D. "Avoid high-protein foods because they are irritating."


C
The client is taught to drink fluids between rather than with meals to prevent diarrhea resulting from vagotomy syndrome. The client also should sit upright during and after meals and eat a high-protein diet of six to eight meals per day.

Nursing

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Routine laboratory examinations for an older adult would include all of the following except

a. Stool guaiac b. Drug screen c. Urinalysis d. Cell blood count

Nursing

How should the nurse position Ms. Waters for palpation of the breast and axillae?

A) Supine with arms at her side B) Supine with arms over her head C) Supine with arm over her head and pillow under shoulder of side being examined D) Supine with arm over her head and a pillow under shoulder opposite side being examined

Nursing

The nurse is reviewing labs on a new admit. The patient's hemoglobin is 8.0; platelets are 75,000, AST 75. Which nursing action is best?

1. Contact the physician. 2. Request the labs to be redrawn. 3. Assess blood pressure. 4. Determine the client's blood type and Rh.

Nursing

The nurse has admitted a woman with borderline personality because of wrist-cutting. The client's sister is visiting, and the sister asks the nurse to explain why her sister sometimes self-mutilates

Which of the following responses would be appropriate for the nurse to make? A) "Sometimes the self-injurious behavior is undertaken to relieve stress." B) "Self-injurious behavior often calms and sedates people with this diagnosis." C) "Sometimes they do it to avoid the onslaught of delusional thinking." D) "Have you noticed your sister's frequent mood swings? The self-mutilation often slows the mood swings."

Nursing