You see a 58-year-old woman who is being treated for a renal stone. Analysis of a stone passed in the urine reveals that it is composed of calcium oxalate. In counseling the patient about preventing future stones, you consider all of the following except:
A. reducing sodium in her diet
B. limiting consumption of beets, rhubarb, nuts, and chocolate
C. encouraging getting her daily calcium requirement from food
D. if calcium supplements are needed, this medication should be taken on an empty stomach
Answer: D. if calcium supplements are needed, this medication should be taken on an empty stomach
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A pediatric nurse is caring for an 18-month-old client. While making rounds the nurse enters the room and finds the infant's father violently shaking the infant
The father attempts to make it appear as though the infant was choking. Upon further assessment the nurse notes bruised areas on the infant's arms and legs. What is a priority action for the nurse to take? A) Discuss what she witnessed with the infant's mother. B) Discuss what she witnessed with the other nurses. C) Report what she witnessed and assessed to child protective services. D) Report what she witnessed and assessed to the local law enforcement agency.
Following a complicated surgery, a patient who was received in the recovery room suddenly loses consciousness and becomes unstable
The nurse who arrives at the scene performs assessments and makes the following comments, "The patient is nonresponsive to verbal stimuli," "The patient is not initiating any spontaneous respiration," and "I am unable to palpate a femoral pulse," and other members of the health care team react to the comments. The team is using the mental model for communication known as: a. critical language. b. call-out. c. check-back. d. hand-off.
Absolute contraindications that clinicians must consider when initiating estrogen therapy include:
1. Undiagnosed dysfunctional uterine bleeding 2. Deep vein or arterial thromboemboli within the prior year 3. Endometriosis 4. 1 and 2 5. All of the above
A client with Alzheimer's disease is admitted to the acute care facility for treatment of an infection. Assessment reveals that the client is anxious
When developing the client's plan of care, which of the following would be least appropriate to include? A) Frequently provide reality orientation. B) Simplify the client's routines. C) Limit the number of choices to be made. D) Establish predictable routines.