A stroke patient has residual dysphagia. The nurse notes that the ordered diet is the national dysphagia diet. She knows this diet comprises which of the following? (Select all that apply.)
a. Dysphagia puree diet
b. Dysphagia mechanically altered diet
c. Dysphagia advanced diet
d. Regular diet
A, B, C, D
In October 2002, the American Dietetic Association published the National Dysphagia Diet Task Force (NDDTF) National Dysphagia Diet (National Dysphagia Diet Task Force, 2002). The diet consists of four levels: dysphagia puree, dysphagia mechanically altered, dysphagia advanced, and regular.
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The nurse is preparing to administer a medication to a child. The medication is ordered as 10 mg/kg. When the nurse looks up the child's weight on the vital sign record, no unit of measure is documented. What is the best nursing action?
A) Assume that the weight was measured in kilograms, since that is unit policy. B) Call the staff member who weighed the child and verify the unit of measure. C) Use arithmetic analysis to determine the probable unit of measure used. D) Reweigh the child to ensure accuracy of weight determination for the day.
A child is prescribed baclofen (Lioresal) via intrathecal pump to treat severe muscle spasms related to cerebral palsy. What teaching does the nurse provide the child and parents?
A. Do not let this prescription run out. B. The medication may cause gingival hyperplasia. C. Periodic serum drug levels are needed. D. Watch for excessive facial hair growth.
The trauma nurse is assigned to triage clients who have suffered trauma during a natural disaster. The nurse understands that according to the guidelines for field triage of injured patients, step 2 of triage includes which assessment?
A) Level of consciousness B) Anatomy of injury C) Mechanism of injury D) Special considerations
Which B vitamin deficiency is associated with cheilosis, glossitis, vascularization of the cornea, and itchy dermatitis of the scrotum and vulva?
a. Niacin (nicotinic acid) b. Pyridoxine (vitamin B6) c. Riboflavin (vitamin B2) d. Thiamine (vitamin B1)