When inspecting nutritional and fluid needs it is important to look at:
a. height and weight.
b. types of food enjoyed.
c. mucous membranes.
d. all of the above.
d
When inspecting nutritional and fluid needs it is important to look at height and weight, types of foods eaten, compliance with diet, fluid intake and objective signs such as skin
turgor and observation of mucous membranes.
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A nurse working with a single, Asian American college student tells a colleague, "The patient has very poor eye contact. No matter what strategies I use, this patient will not look at me."
Which explanation(s) would be likely reasons for this patient's behavior? In some Asian cultures: (Select all that apply.) a. a strong cultural injunction exists against using assertive communication measures. b. looking directly at a person of the opposite sex indicates sexual interest. c. looking down signifies deference to authority. d. a close personal space is therapeutic. e. trancelike syndromes are common.
During primary survey assessment of a burn patient, the nurse checks for early signs of carbon monoxide poisoning, which include: (Select all that apply.)
a. dizziness. b. urticaria. c. vomiting. d. headache. e. vertigo. f. unsteady gait.
A patient says, "I'm like a wind-tossed leaf. My goal is to find meaning in life." The nurse should consider referring the patient to which group?
a. Self-help b. Spirituality c. Reality orientation d. Psychoeducational
While performing a task, a nursing assistant harmed a person. Which is correct?
a. The nursing assistant is appropriate in dis-ciplining the person. b. The nursing assistant is responsible for the harm. The supervising nurse is not respon-sible. c. The nursing assistant will be held to the standard of care of other nurses. d. Harm can occur from what a person does or fails to do.