A client with myasthenia gravis is malnourished. What actions to improve nutrition may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Assessing the client's gag reflex
b. Cutting foods up into small bites
c. Monitoring prealbumin levels
d. Thickening liquids prior to drinking
e. Weighing the client daily
ANS: B, D
Cutting food up into smaller bites makes it easier for the client to chew and swallow. Thickened liquids help prevent aspiration. The UAP can weigh the client, but this does not help improve nutrition. The nurse assesses the gag reflex and monitors laboratory values.
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Upon completion of a nursing education program, the student nurse is aware that the FIRST task to focus on is to:
a. obtain a job b. pass the NCLEX-PN examination c. obtain a temporary nursing permit d. review the nursing practice act in your state
The nurse is aware that the large flattened features of the patient with acromegaly are caused by an excess of:
1. prolactin. 2. growth hormone. 3. thyroid-stimulating hormone. 4. adrenocorticotropic hormone.
Which statement is true about pain?
a. The nurse is the best judge of a patient's pain. b. Patients with severe tissue damage will experience more pain than those with less damage. c. Most complaints of pain are psychological. d. Addiction is unlikely when analgesics are carefully administered and closely monitored.
A nurse is educating a group of students about health care economics. Which statement would the students make if the teaching were effective?
a. "Extrinsic factors include the cost of prescription drugs.". b. "Extrinsic factors include the age of the population.". c. "Extrinsic factors include the demand for health care.". d. Extrinsic factors include employer-paid health insurance.".