The nurse is caring for a Jewish client with type 1 diabetes mellitus who has been taken to another department for testing
The nurse recognizes the client will be due for an insulin injection and will need to eat immediately upon arrival back to the unit. The nurse orders the client's meal tray. Which of the following will be the best selection? 1. BLT sandwich, potato salad, fruit wedge, and unsweetened tea
2. Roast beef sandwich, potato chips, and 2% milk
3. Egg salad sandwich, side salad, applesauce, and diet soda.
4. Pork tenderloin sandwich, fruit cup, and milk.
3
Rationale 1: The Jewish client is least likely to be accepting of meals containing pork.
Rationale 2: Meat and milk are not served in the same meal.
Rationale 3: The Jewish client is least likely to be accepting of meals containing pork. The menu of egg salad, a side salad, applesauce, and diet soda does not violate Jewish religious customs.
Rationale 4: The Jewish client is least likely to be accepting of meals containing pork. In addition, meat and milk are not served in the same meal.
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A pregnant client expresses concern that she will develop varicose veins toward the end of her pregnancy. The nurse should recognize that varicose veins are the result of:
a. a genetic defect in the valves of lymph ducts in the lower extremities b. compression of the abdominal veins by the progressively enlarging uterus c. increased cardiac volume that normally occurs in the last half of the pregnancy d. increased fluid volume resulting from the placental filtering of maturing fetal systems
Which of the following are considered patient benefits of EHR personal health information? Select all that apply
1. Self-entered data 2. Appointment request 3. Medication management 4. Appointment views 5. Access to test results
The order calls for the patient to receive 500 mL of intravenous (IV) fluid over 4 hours, and the nurse uses IV tubing with a drop factor at 10 gtts/mL
Which rate should the nurse use on an electronic infusion pump for IV fluids to administer this prescription? a. 125 mL/hr b. 500 mL/hr c. 21 gtts/min d. 32 gtts/min
A school nurse is treating a school-age client who has fallen down a flight of stairs. The client is breathing but unconsciousness. After calling the ambulance, the nurse should:
1. Protect the client's neck and head from any movement. 2. Place the client on the side to prevent aspiration. 3. Open the airway using the head tilt maneuver. 4. Try to rouse the client by gently shaking the shoulders.