For the diabetic client with microalbuminuria, what dietary modification should the nurse suggest?
A. Decreased percentage of total calories derived from carbohydrates
B. Decreased percentage of total calories derived from proteins
C. Decreased percentage of total calories derived from fats
D. Decreased total caloric intake
B
Restriction of dietary protein to 0.8 g/kg body weight/day is recommended for clients with mi-croalbuminuria to retard progression to renal failure.
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Nursing is, by necessity, a flexible profession. It has adapted to meet both the expectations and the changing health needs of our aging population. What is one factor that has impacted the need for certified nurse practitioners (CNPs)?
A) The increased need for primary care providers B) The need to improve patient diagnostic services C) The push to drive institutional excellence D) The need to decrease the number of medical errors
A hospice patient is taking rather strong narcotics with good pain control, but today the patient's family tells the nurse that the client does not want to become addicted. Which of the following is the best response by the nurse?
a. "But you're dying, what difference will it make if you become addicted?" b. "You can try not to take so much so frequently if you are concerned." c. "You may develop tolerance but you can't be addicted when you're using the medication for pain control." d. "You need strong narcotics to control your pain; we want to keep you comfortable." e. "We'll keep you comfortable using some nonnarcotic drugs if that is what you prefer."
A patient presents at the clinic complaining of pain and weakness in her hands. On assessment the nurse notes diminished reflexes in the upper extremities bilaterally and bilateral loss of sensation. The nurse knows that these findings are indicative of w
A) Guillain-Barré Syndrome B) Myasthenia gravis C) Trigeminal neuralgia D) Peripheral nerve disorder
An older adult client presents to the emergency room with a severe acid-base imbalance after taking "cold medicine" for a week. The client has a history of arthritis and reports daily use of aspirin. Which late effect acid-base imbalance does the nurse suspect the client is experiencing?
A) Respiratory alkalosis B) Respiratory acidosis C) Metabolic alkalosis D) Metabolic acidosis