Malnutrition is commonly seen in clients with pulmonary disease for which of the following reasons?
1. These clients customarily make very poor food choices.
2. These clients may need much more energy than a healthy person needs to breathe.
3. Many of these clients sleep so much they forget to eat.
4. Many of these clients use a disproportional amount of their food energy to support their extraordinarily powerful immune systems.
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The pediatric nurse understands blood types. Which of the following donor/recipient matches are suitable? (Select all that apply.)
A. Donor: A+ Recipient: A+ B. Donor: B+ Recipient: B- C. Donor: AB+ Recipient: Anyone D. Donor: O- Recipient: Anyone E. Donor: A- Recipient: A-, A+
The nurse recognizes that which patient would be most likely to develop hypovolemic shock? A patient with:
1. Decreased cardiac output 2. Severe constipation, causing watery diarrhea 3. Ascites 4. Syndrome of inappropriate ADH (SIADH)
Which assessment technique assures accuracy in daily abdominal girth measurement? (Select all that apply.)
a. Place marks on the lateral sides of the ab-domen where the tape is placed. b. Use the same tape every day. c. Measure girth with the tape placed 1 inch above the umbilicus. d. Measure the same area every day. e. Measure girth at the same time every day.
The nurse is reinforcing teaching on a patient who reports constipation and straining and has a distended abdomen and intestinal rumbling. What should be included in the teaching? (Select all that apply.)
a. Set a time for defecation every day. b. Drink water each morning and about 2 to 3 L throughout the day. c. Sit on the toilet with feet planted firmly on the floor. d. Increase intake of fiber, especially bran, in the diet. e. Use enemas and rectal suppositories if constipation persists after 2 days. f. Increase the intake of foods containing vitamin K.