The nurse caring for a frail, malnourished, immobile patient recognizes which of the following as the best treatment to protect the patient's integument?
1) Offering the patient 6 small meals a day
2) Assisting the patient to sit in a chair 3 times a day
3) Turning the patient at least every 2 hours
4) Administering fluid boluses as directed by the healthcare provider
ANS: 3
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The parent of a child with hypopituitarism asks why this condition occurs. Which response by the nurse is the most appropriate?
A. "Infection in the brain is the most common cause." B. "It's usually a brain tumor near the pituitary gland." C. "There are many possible causes, and often we don't know." D. "Usually this is due to damage to the brain from trauma."
When the patient enters into nephrotic syndrome after an exacerbation of glomerulonephritis, the nurse would expect to see:
a. decreased serum albumin. b. decreased lipids. c. decreased proteinuria. d. increased hematuria.
A 48-year-old man who has just been started on tube feedings of full-strength formula at 100 mL/hr has 6 diarrhea stools the first day. Which action should the nurse plan to take?
a. Slow the infusion rate of the tube feeding. b. Check gastric residual volumes more frequently. c. Change the enteral feeding system and formula every 8 hours. d. Discontinue administration of water through the feeding tube.
Which type of drug is used to treat acute severe biliary pain?
a. Acetaminophen (tylenol) b. NSAIDS (Ibuprofen) c. Antiemetics (Compazine) d. Opioids (Morphine)