Which of the following is the appropriate approach to prepare patients for mealtime?
A. Ensure that patients have the opportunity to go to bathroom before eating.
B. Have patients cleanse their hands before meals are served.
C. Adjust the patients' position so they are comfortable-raise the head of the bed or help transfer to a chair.
D. All of these are correct.
Answer: D
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When caring for a postpartum woman experiencing hemorrhagic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxy-genation is:
1. absence of cyanosis in the buccal mucosa. 2. cool, dry skin. 3. diminished restlessness. 4. urinary output of at least 30 ml/hr.
The client has been placed on Ritalin. He is already being treated with Coumadin. The nurse anticipates that the combination of the two drugs will have a(n) _____ in the effect of the _____
a. increase; Coumadin b. decrease; Coumadin c. increase; Ritalin d. decrease; Ritalin
A 93-year-old resident eats only a few bites at meals and then refuses to eat more. Which intervention might the nurse use to help delay skin breakdown from diminished nutrition?
a. Spoon-feed the resident. b. Request an order for a feeding tube. c. Inform the resident of the need to increase intake. d. Offer 4 ounces of fluid every hour.
A client asks whether a benign tumor is cancerous. What is the best response by the nurse?
1. "No, these rarely require drug treatment." 2. "No, but if surgically removed, it will grow back." 3. "Yes, this word is often used interchangeably with tumor." 4. "Yes, these grow rapidly and can become resistant to treatment."