The client is an overweight alcoholic who has previously been diagnosed with chronic venous insufficiency. The client has a leg wound that has worsened during the last 6 months
The addition of which of the following sign or symptom indicates that client has a protein deficient diet? 1. Increased serum lipid levels
2. Decreasing muscle mass
3. Anemia
4. Poor bone density
2
Rationale: Increased serum lipid levels, obesity, and toxic levels of some vitamins indicate the client is suffering from overnutrition. Decreasing muscle mass, poor wound healing, functional decline, immunodeficiency, and poor growth in children are all indicators that the client is suffering from protein-related malnutrition. Anemia and poor bone density would more likely be associated with undernutrition but specifically related to diminished intake of iron or calcium and vitamin D.
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A patient frequently asks the nurse for extra snacks, implying more willingness to talk if these items are provided. The nurse should assess this behavior as:
a. typical of transference reactions. b. indicative of feelings of insecurity. c. reflecting resistance to involvement. d. testing the nurse's clinical competence.
Transdermal opioid administration is indicated for a client in which of the following situations?
a. The exact dosing of medication is required. b. Oral medication cannot be tolerated. c. Pain is predictable, as in postsurgical clients. d. Pain is continuous, and high dosage is required.
A patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the county health department
The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial? 1. The nurse is not liable for damages, because the nurse has a right to expect that instructions will be followed. 2. The nurse is liable, because there was no follow-up to ensure that the patient received the injection. 3. The nurse is not liable, because tetanus is a reportable disease and the health department should have insisted the patient take the injection. 4. The nurse is liable, because tetanus is easily treatable after diagnosis.
The nurse is caring for an adolescent male with gynecomastia. What groups of drugs can induce gynecomastia in male adolescents? (Select all that apply.)
a. Oral antibiotics b. Oral ketoconazoles c. Calcium channel blockers d. Histamine-2 receptor blockers e. Cancer chemotherapeutic agents