Question

1-) The nurse has taken a nutritional history from parents of clients. It would be a priority for the nurse t follow up with the

a) 5-month-old client whose only source of nutrition is 5 formula feeding daily

b) 7-month-old client who eats several crackers as finger food     

c) 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple juice and 3 serving of infant cereal

d) 1-year-old client whose typical food intake includes 4 breast-feedings and 3 servings of cooked vegetables, pears or sliced cheese

25-The charge nurse is observing the following client situation. It will require intervention if a.

1. client with hepatitis B (HBV) is eating food brought into the facility by a visitor.
2. Visitor is sitting on the side of the bed a client with a acute pancreatitis.
3. staff members is entering the room of a client with hemophilia influenzae meningitis wearing a protective gown and gloves
4. family member of a child with mycoplasma pneumonia leaves. the door of the client room open.

   28-The nurse observes a co-worker who is assessing a client thoracic expansion. Which of the following will indicate that the co-worker is used in the correct procedure?   a) Percussion from the apex of the scapula downward on each side. b)Placement of the hands flat on the back with thumbs at the level of the 10th rib pointing to the spine, then asking client to inhale. c)Measurement or the anteroposterior diameter of the chest. d)Placements of the palms at the level of the 10th ribs which thumbs pointing to xiphoid process, then asking the client to inhale.   29-The nurse taught a client with chronic kidney disease about the purpose of prescribed medication. Which of the following statements by the client would indicate a correct understanding of the teaching. a) Sevelamer maneuver phosphorus consumed with food before it can absorb into my body. b)Sodium polycythemia sulfonate remove excess or ammonia that has built in my blood. c)Erythropoietin stimulate my body to generate platelets to reduce my risk for bleeding. d)Cholecalciferol helps to prevent my serum calcium level from getting too high

Answer 1

1) The correct option is D)

1-year-old client whose typical food intake includes 4 breast-feedings and 3 servings of cooked vegetables , pears or sliced cheese because by 6 months of age itself half weaning of breastfeeding is started and by 1year breast feeding is stopped fully and is put on normal diet.

25) The correct option is C) staff members is entering the room of a client with hemophilia influenzae meningitis wearing a protective gown and gloves because the staff haven't wore mask before entering the room .

Meningococcal meningitis patients should be placed on droplet precautions (private room, mask for all entering the room) until they have completed 24 hours of appropriate antibiotic therapy.

28) The correct option is B) b)Placement of the hands flat on the back with thumbs at the level of the 10th rib pointing to the spine, then asking client to inhale.

This is done by examining the patient posteriorly, placing the examiner's thumbs together at the midline at the level of the tenth rib with hands grasping the lateral rib cage; both visual and tactile observations are made both during tidal volume breathing and during deep forceful inhalation.

29) The correct option is A)

It should be taken three times a day with meals to help control phosphorus levels in your body. Renvela binds to (or holds on to) phosphorus in the foods you eat so your body doesn't absorb as much. Then it carries the phosphorus through your digestive tract and out of your body.