The nursing assistant is delivering patient meals. Which meal should the nurse expect to be delivered to a patient who had gastric bypass surgery the day before?
a. Soft diet
b. Full liquids
c. Clear liquids
d. General diet
ANS: C
Patients are started on a clear liquid diet because of the small stomach pouch that has been created. A. B. The patient will progress to these diets over the next days. D. This patient will not be provided with a general diet for quite a while.
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The ICU nurse is caring for a patient in neurogenic shock. What would the nurse know is a characteristic of neurogenic shock?
A) Hypertension B) Cool, moist skin C) Bradycardia D) Signs of sympathetic stimulation
A 12-month-old infant has been diagnosed with failure to thrive (FTT). Which assessment findings does the nurse expect to be documented with this infant? (Select all that apply.)
a. Fear of strangers b. Minimal smiling c. Avoidance of eye contact d. Meeting developmental milestones e. Wide-eyed gaze and continual scan of the environment
The nurse is explaining to a nursing student the importance of making sure the patient is wearing his sequential compression devices (SCDs) when in bed
Which of the following statements in-dicates a good understanding of the purpose of SCDs by the student? (Select all that apply.) a. SCDs mimic the natural act of walking. b. SCDs pump blood into deep veins. c. SCDs prevent venous stasis. d. SCDs are used to prevent DVTs.
The nurse is assessing the neuromusculoskeletal system of a newborn. What is an abnormal assessment finding?
A) Sluggish deep tendon reflexes B) Full range of motion in extremities C) Absence of hypotonia D) Lack of purposeful muscular control