chicken sandwich, brown rice, yogurt, and milk steamed vegetables with rice and apple slices scrambled eggs, cottage cheese, dry toast, and milk baked zucchini, spinach salad with cheese, and yogurt
A client with gastroesophageal reflux disease (GERD) is talking to the nurse about ways to manage her condition. Which statement reflects an understanding of management of GERD?
“I can elevate the head of my bed 6 to 12 inches to help prevent nighttime reflux.” “I can eat a large breakfast and smaller meals for lunch and dinner to help me feel better.” “Lying on my left side will promote oxygenation and frequent swallowing to help clear my esophagus.” “I should take liquid…
The nurse is providing dietary instruction to a client with diabetes who has normal kidney function. Which statement by the client requires intervention by the nurse?
“I should limit cholesterol intake to 200 mg/day.” “I should eat very low or no carbohydrates when possible.” “My protein intake should be 15% to 20% of my daily calories.” “Fiber will improve my carbohydrate metabolism and lower cholesterol.”
A client is telling the nurse about his perception of his thought patterns. Which of the following statements by the client would validate the diagnosis of bipolar disorder?
“Sometimes I’m ready to take on the world, but other times I’m too tired to get out of bed.” “I need to check and then recheck all the kitchen appliances several times to make sure they are off before I feel comfortable leaving my home.” “My neighbors hold sacrificial rites in their backyard.” “I keep…
The nurse is assessing a client who is a polysubstance abuser, with fentanyl being one of the drugs most frequently used. Which physiological symptoms are suggestive of fentanyl intoxication?
diarrhea nausea urge to urinate anxiety
A client is prescribed diazepam (Valium) as needed to control the symptom of alcohol withdrawal. Which symptom may indicate the need for the nurse to administer phenytoin (Dilantin) to supplement the effect of Valium?
disturbed heart rate hallucinations drowsiness seizures
During the nurse’s shift in the emergency department, a nurse assesses a client who is suspected of being under the influence of opioids. Which symptom is indicative of opioid use?
hypotension diaphoresis shallow respirations outbursts of anger
The nurse is teaching a group of women at a community center about risk factors for spousal abuse. Which would the nurse identify as risk factors?
alcohol or drug use low income or poverty being over the age of 40 a higher level of education having a large circle of friends pregnancy, especially if it is unplanned
The nurse is educating a group of student nurses about perceived loss. The nurse knows that the students understand when one of them verbalizes which example?
a single mother loses her job a student fails his college chemistry class a husband is grieving the loss of his wife of 40 years a first-time mother is disappointed that she had a boy instead of a girl
The nurse is caring for a client who has been diagnosed with terminal pancreatic cancer. The family is asking what to expect when the end draws near. Which response by the nurse is most appropriate?
“I will have the doctor talk to you about that.” “The hospice nurse is the best person to answer your questions. I can put in a consult for you.” “Don’t worry about that right now. You don’t know if there is another treatment option that will work.” “I can tell you what to look for…