Which of the following should be avoided in countries where food and water precautions are to be observed?
A. Hot coffee
B. Bottled water
C. Salad buffet
D. Unpeeled bananas
C
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A patient has acute tubular necrosis. The following blood work was noted: complete blood count shows a white blood cell count of 11,000 mm3, a hemoglobin of 8 g/dL, and a hematocrit of 30%. His chemistry panel shows serum potassium, 4
5 mg/dL; serum sodium, 135 mg/dL; serum calcium, 8.5 mg/dL; BUN, 20 mg/dL; and creatinine, 1.5 mg/dL. What laboratory value(s) need(s) to be treated most immediately and why? a. Administration of 5% dextrose in water and insulin because the patient is hyperkalemic and needs this level reduced b. Administration of Epogen to treat anemia c. Administration of a broad-spectrum antibiotic to treat the elevated blood cell count d. Administration of a calcium supplement for low calcium
Which is an appropriate nursing diagnosis for a postpartal mother with lacerations from a forceps delivery?
1. Alteration in body image related to scar formation 2. High risk for infection related to lochia and decreased perineal and birth canal integrity 3. Alteration in nutrition: more than body requirements related to increased appetite 4. Self-care deficit related to poor opportunity for independence
To prevent complications caused by a common problem of Huntington's disease, the nurse should
a. institute seizure precautions. b. pad wheelchairs and beds. c. start an exercise regimen. d. teach different communication signals.
A nurse is preparing to measure a client's pulmonary artery wedge pressure (PAWP). In what position should the nurse place the client for the most accurate results?
A. Supine, with the head elevated to 45 degrees B. Prone, with the head elevated to 30 degrees C. Trendelenburg position D. Lithotomy position