The nurse is writing a care plan for a patient with abnormal uterine bleeding (AUB). Goals that the nurse writes include: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Preventing or treating anemia.
2. Preventing hyperplasia.
3. Restoring quality of life.
4. Conducting pelvic exams monthly.
5. Analyzing liver and kidney function.
1,2,3
Rationale 1: One goal for the patient with AUB is to prevent or treat anemia.
Rationale 2: One goal for the patient with AUB is to prevent hyperplasia.
Rationale 3: One goal for a patient with AUB is to restore quality of life.
Rationale 4: Conducting pelvic exams monthly is not a goal for a patient with AUB.
Rationale 5: Analysis of liver and kidney function might be needed, but this is not a goal of treatment.
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A client is scheduled for an esophagogastroduodenoscopy (EGD) to detect lesions in the gastrointestinal tract. The nurse would observe for which of the following while assessing the client during the procedure?
A) Signs of perforation B) Client's ability to retain the barium C) Client's tolerance for pain and discomfort D) Gag reflex
Nutrient composition for the Therapeutic Lifestyle Changes diet include which of the following: (Select all that apply.)
a. Saturated fat less than 4% b. Total fat, 25% to 35% c. Carbohydrates, 40% d. Fiber, 30 g/day e. Monounsaturated fat, up to 20% cal f. Cholesterol, 250 mg/ day
The nurse is preparing to auscultate a patient's heart sounds. At which location will S1 be heard the loudest?
1. left midclavicular line at the fifth intercostal space 2. left sternal border at the fifth intercostal space 3. right midclavicular line at the fifth intercostal space 4. right sternal border at the third intercostal space
A patient, with a non-healing abdominal wound, has obvious dead tissue throughout the wound bed. The nurse realizes that which of the following will need to be done to encourage this wound to heal?
1. debride devitalized tissue 2. keep the wound open to air 3. cover the wound with a sterile dry dressing 4. analyze the patient's diet to ensure adequate protein intake