The nurse helps a client with diverticular disease choose appropriate dinner options. Which menu selections are most appropriate?
a. Roasted chicken, rice pilaf, cup of coffee with cream
b. Spaghetti with meat sauce, fresh fruit cup, hot tea with lemon
c. Chicken Caesar salad, cup of bean soup, glass of low-fat milk
d. Baked fish with steamed asparagus, din-ner roll with butter, glass of apple juice
D
Whole grains (rice pilaf), uncooked fruits and vegetables (salad, fresh fruit cup), and high-fiber foods (cup of bean soup) should be avoided with a low-residue diet. Canned or cooked vegeta-bles are appropriate. Apple juice does not contain fiber and is acceptable for a low-residue diet.
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Review of the medical record reveals that a patient has a summation gallop. Which pattern of heart sounds would the nurse expect?
1. S1 followed closely by S2 2. S1 followed closely by S2 followed closely by S3 3. S1 followed closely by a split S2 4. S4 followed by S1 followed by S2 followed by S3 followed by S4
Ms. Galvan is a 22-year-old secretary who comes to the clinic with headaches of 6 weeks' duration. She tells the office assistant about her heavy schedule, including part-time work and evening classes. Her vital signs are normal
Which information is most appropriate to Ms. Gal-van's history? a. Current medications b. Elimination patterns c. Immunization status d. Previous pregnancies
Two working parents are discussing with the school nurse the possibility of their 12-year-old girl going home alone after school. What suggestion should the nurse make?
A) Provide entertainment until the parents come home. B) Allow the child to go to a friend's house. C) Teach her how to take a message if someone calls. D) Purchase caller ID for the phone.
Mrs. D and her husband have a number of conflicts brewing, including whether Mr. D should seek a promotion that will cause him to travel away from home several days each month. Mrs. D seeks the opinion of their 12-year-old, who sides with her mother saying Mr. D is needed at home. This is an example of
A. triangulation. B. enmeshment. C. a double bind. D. diffuse boundaries.