The nurse caring for a patient recovering from a total hip replacement should do which of the following to best ensure this patient's nutritional needs?
1. Assess for tolerance to diet and progress from clear liquid to another level as tolerated.
2. Maintain clear liquid diet with intravenous fluid supplementation.
3. Plan to support nutritional status with enteral feedings.
4. Plan to support nutritional status with parenteral supplements.
Assess for tolerance to diet and progress from clear liquids to another level as tolerated.
Rationale: Adequate nutrition in the postoperative period is essential for normal metabolic functioning and wound healing. The patient should be transitioned to an oral diet or enteral feedings as quickly as possible. Prolonged NPO status, peripheral intravenous fluids, or extensive use of clear liquids is not sufficient to support nutritional needs. There is no evidence to suggest that the patient will need enteral feedings or parenteral supplementation.
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The nurse assigns the diagnosis of Nutrition Imbalance: less than body requirements for an older adult. Which age-associated intestinal problem does the nurse apply to plan goals and interven-tions to improve this adult's nutritional status?
a. Less intrinsic factor secretion c. Decreased gastric smooth muscle b. Short, broad small intestinal villi d. Decreased large intestinal motility
A nursing intervention designed to help a schizophrenic client manage relapse is to
A. schedule the client to attend group therapy. B. teach the client and family about behaviors associated with relapse. C. remind the client of the need to return for periodic blood draws. D. help the client and family adapt to the stigma of chronic mental illness.
A prospective nursing student is researching the various practical/vocational nursing programs that are available in her region and is finding that there are significant differences in curriculum,
especially with regard to the relationship between classroom and clinical learning. Which arrangement is most conducive to effective learning? A) Classroom learning in the first third of the program, laboratory learning in the second third, and clinical learning in the final third of the program B) An emphasis on classroom and laboratory learning in the first half of the program followed by clinical learning in the second half C) A brief clinical placement at the beginning of the program followed by intensive classroom and laboratory learning with a longer, final clinical placement at the end of the program D) Integration of classroom, laboratory, and clinical learning throughout the entire program
Several different tests can be used to diagnose an infection caused by the virus of infectious mononucleosis. Which of the following is NOT a test used to identify this disease?
A. Identify presence of typical lymphocytes in the blood of the infected person B. Presence of antibodies against sheep red cells (heterophile antibodies) in the blood C. Presence of specific anti-viral antibodies D. Presence of inclusion bodies in the cells of infected persons