A nurse is caring for a client who has a large lower leg ulcer. Which of the following foods should the nurse suggest to the client to provide the most protein for wound healing?

Grilled salmon

Kidney beans

Raw spinach

Peanut butter

Answer and Explanation

The Correct Answer is A

A. Grilled salmon is high in protein and also provides omega-3 fatty acids, which are beneficial for wound healing.
B. Kidney beans are a good source of protein but not as high as salmon.
C. Raw spinach is nutritious but low in protein.
D. Peanut butter contains protein, but not as much as salmon and may not be as easily digestible for some patients.

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Correct Answer is D

Explanation

A. Medications should be diluted as per pharmacy recommendations, not arbitrarily with 10 mL of tap water.
B. The head of the bed should be elevated to at least 30-45 degrees during and after feeding to prevent aspiration.
C. Medications should not be mixed together to avoid interactions unless recommended by the pharmacy.
D. Flushing the NG feeding tube with 30 mL of water immediately following medication administration ensures that the medication has cleared the tube and prevents clogging.

A. "Your husband should decide when more medication is needed." B. "Next time you think he needs more medication, call me and I'll push the button." C. "It's a good idea to help make sure your husband can sleep comfortably." D. "Why do you think your husband needs more medication when he is asleep?"

Correct Answer is A

Explanation

A. This response emphasizes the importance of the patient controlling their own pain management. PCA pumps are designed to allow the patient to self-administer pain medication as needed, ensuring they receive the appropriate dose based on their pain levels.
B. This response is inappropriate because it undermines the purpose of a PCA pump, which is to allow the patient to control their own pain relief.
C. While the partner's intention is to help, this response does not address the potential risk of over-sedation and respiratory depression when someone other than the patient administers the medication.
D. This response questions the partner's actions but does not provide clear guidance on the proper use of the PCA pump.

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A nurse is caring for a client who has a large lower leg ulcer. Which of the following foods should the nurse suggest to the client to provide the most protein for wound healing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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