A patient has been admitted with severe malnutrition from prolonged calorie deficiency. The patient has severe muscle wasting but normal electrolytes and serum albumin. He is lethargic, with a flat affect. What treatment does the nurse anticipate?
A) Rapid infusion of high-calorie enteral feedings
B) Use of total parenteral nutrition
C) Slow balanced enteral feedings
D) Rapid infusion of high-protein feedings
C
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For a client whose nursing diagnosis is Pain related to surgical incision, one nursing intervention states, "Teach client to support or splint abdominal incision with pillow when coughing or moving
" What type of nursing intervention does this represent? a. actual c. independent b. dependent d. interdependent
A 6-year-old patient is prescribed to receive an oral antibiotic. What should the nurse do before giving the child this medication?
A) Check to see if the child can swallow pills. B) Give the child a small glass of water to drink. C) Give the child the medicine before the next meal. D) Tell the child that the medicine can be given as an injection instead.
The nurse notes a venous ulcer on the client's left ankle. What additional assessment finding does the nurse expect in this client?
a. Absence of hair on the left lower extremity b. Skin surrounding the ulcer mottled but blanchable c. Brownish discoloration of the lower extremity d. Cold and gray-blue lower extremity
The UAP is given ambulation instructions by a staff nurse for a patient 2 days postoperatively. Which of the following ambulation instructions would require further communication to the UAP to ensure the safety of the patient?
a. "Ambulate the patient the length of the hallway and get me if there are any prob-lems.". b. "Have you ambulated this type of post-op patient before?" c. "Let me know 1 hour before you are ready to ambulate the patient so I can give him his pain medication.". d. "This patient has been ambulating with minimal assistance, but I would like you to walk with him to be sure he is stable.".