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A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?
- A. Measure the client's gastric residual every 12 hr.
- B. Obtain the client's electrolyte levels every 4 hr.
- C. Keep the client's head elevated at 15* during feedings.
- D. Flush the client's tube with 30 mL of water every 4 hr.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A nurse is planning care for a client who reports following Seventh-Day Adventist dietary laws. Which of the following dietary guidelines should the nurse include in the plan of care?
- A. Replace salt with pepper when seasoning water.
- B. Request that coffee is removed from meal trays.
- C. Offer pork with two meals per week.
- D. Provide a high-protein snack between meals.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?
- A. BUN 8 mg/dL
- B. Hgb 15 g/dL
- C. Creatinine 0.8 mg/dL
- D. Sodium 140 mEq/L
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?
- A. Eat small portions of the high-calorie foods first.
- B. Set a goal and you will be able to attain it.
- C. It is helpful to self-monitor your eating.
- D. Taste food while cooking to help curb your appetite.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is assessing a client who reports muscle spasms in his calves and tingling in his hands. The client indicates consuming a low intake of milk products and green leafy vegetables. The nurse should identify that the client's findings indicate a deficiency in which of the following sources of nutrition?
- A. Iron
- B. Omega 3 fatty acids
- C. Vitamin C
- D. Calcium
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is teaching a parent about recommended protein intake for a toddler. The nurse should identify that which of the following food selections is equivalent to 1 oz of protein?
- A. 2 tbsp peanut butter
- B. ½ cup peas
- C. 1 slice of bread
- D. 1 scrambled egg
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.