The nurse is assessing a client using the Nutritional Screening Initiative Tool. Which of the following would increase the client's score on this screening tool?
1. Takes Lopressor (atenolol) daily
2. Maintained weight over last 7 years within 5 pounds
3. Receives visits from daughter and grandchildren three times each week
4. Requires assistance of one person to bathe
4
Rationale: An increased score on this screening tool may indicate undernutriton. The client who takes multiple medications, not one medication daily, is at a higher risk for undernutrition. The client who has maintained their weight does not have an increased risk for undernutrition. The client who has adequate social contact does not have an increased risk for undernutrition. The client who requires assistance with self care does have an increased risk for undernutrition.
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An older adult woman is brought to the emergency department after being found lying on the kitchen floor for 2 days; she is extremely dehydrated. What would the nurse expect to see during the examination?
a. Smooth mucous membranes and lips b. Dry mucous membranes and cracked lips c. Pale mucous membranes d. White patches on the mucous membranes
The client who has AIDS and is receiving highly active antiretroviral therapy (HAART) has a reduced viral load as measured by the nucleic acid sequence-based assay (NASBA) of gene amplification. What is the correct interpretation of this result?
A. The HAART regimen is effective. B. The client is no longer considered infectious. C. The client's HIV is becoming resistant to therapy. D. Extra precautions to prevent opportunistic infection are now needed.
A client is diagnosed with an elevated cholesterol level. What should the nurse instruct the client regarding foods to avoid?
1. Fish. 2. Milk. 3. Liver. 4. Chicken. 5. Egg yolk.
You have been assigned to work with one of the staff nurses in caring for Mrs. Gregory, who is dying and appears to be unaware of her surroundings. The nurse cautioned you, before entering the room, that you and she would not talk about the client while
caring for her. The reason for this caution is a. a there is nothing to be gained by discussing the dying client b. the homemaker/home health aide should not discuss a clientÃs illness with a staff nurse c. although clients appear to be unaware of their surroundings, they may be able to hear very well what is being said d. it shows disrespect to talk about a dying client