A client with irritable bowel syndrome is recovering from surgery to create an ileostomy what foods should the nurse instruct the client to avoid to
... [Show More] reduce the risk of food blockage CORRECT ANSWER Dried fruits & nuts
Rationale: dried fruits and nuts can cause a blockage in the small intestine the client should be instructed to avoid these food items with an ileostomy
A client with malnutrition is assessed for osteomalacia what data show the nurse review to determine their clients risk for this health problem CORRECT ANSWER Vitamin D levels
Rationale: Malnutrition has widespread effects on various organ systems osteomalacia is defective mineralization of newly formed bones secondary to chronic deficiency of vitamin D it results in soft, weak bones that fracture easily vitamin D levels will provide the nurse with the most accurate information regarding this health problem
The nurse has determined an adolescent client needs reinforcement education about prevention of a sickle cell crisis which instruction should the nurse include select all that apply CORRECT ANSWER Wear warm clothes outside in cold weather
take your hydroxyurea (Droxia) daily as prescribed
Drink at least eight 12 ounces’ glasses of water a day
Get regular exercise but do not exercise so much that you become tired
Rationale: Vaso-occlusive crisis is the most common clinical manifestation of a sickle cell disease. it occurs when the micro circulation is obstructed by sickling of the red blood cells resulting in local tissue ischemia and severe pain. the three most common identify triggers for the development of a vaso-occlusive crisis are hypoxemia, dehydration, and body temperature changes
The nurse is caring for a client with schizophrenia who has refused they are risperidone for the last week the client has been suspicious of nursing staff and periodically aggressive for the past three days today the client broke a chair in their room and is making verbal threats to the nurse and to other clients in the day wrong what is the first action the nurse should take CORRECT ANSWER Remove the other clients in nonessential staff from the day room
Rationale: schizophrenia is a mental health disorder which causes hallucinations, delusions, disorder thought process and impaired behavior function.
Safety for all staff clients and visitors is priority and potential violence situations
A nurse who normally works on a post-surgical care unit has been asked to float to the preoperative care unit what is the best response [Show Less]