The clinic nurse is evaluating causes for iron deficiency due to impaired iron absorption. What should the nurse recognize as causes for iron deficiency due to impaired iron absorption? (Select all that apply.)
a. Gastric acidity
b. Chronic diarrhea
c. Lactose intolerance
d. Absence of phosphates
e. Inflammatory bowel disease
ANS: B, C, E
Causes for iron deficiency due to impaired iron absorption include chronic diarrhea, lactose intolerance, and inflammatory bowel disease. Gastric alkalinity, not acidity, and the presence, not absence, of phosphates can be causes of impaired iron absorption.
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The nurse is caring for a postoperative patient who has had abdominal surgery and whose wound has completely eviscerated when she walks into the room. In addition to notifying the physician, what should the nurse do?
a. Cover the wound with a sterile gauze pad. b. Cover the wound with a transparent dressing. c. Put pressure on the wound with a sterile gauze pad. d. Cover the wound with gauze soaked with normal saline.
The nurse is caring for an older patient with unstable blood glucose control from type 2 diabetes mellitus. On which potential neurologic problems should the nurse focus teaching with this patient? Standard Text: Select all that apply
1. Brain attack 2. Status epilepticus 3. Multiple sclerosis 4. Myasthenia gravis 5. Alzheimer's disease
Which physical assessment technique would be used to determine the AP:lateral ratio?
1) Inspection 2) Palpation 3) Percussion 4) Auscultation
In a supervision session, several of the nurses discuss methods for communicating with clients diagnosed with dementia. One nurse appropriately suggests:
A) Diminishing background noise in the environment. B) Attempting a rational discussion of issues with the client. C) Correcting errors by the client, and speaking in a loud, clear voice. D) Using multiple memory cues and giving several directions at once.