An adult woman with Grave's disease is admitted with severe dehydration and malnutrition. She is currently restless and refusing to eat. Which action is most important for the nurse to implement?

Keep room temperature cool.

Determine the client's food preferences.

Maintain a patent intravenous site.

Teach the client relaxation techniques.

Answer and Explanation

The Correct Answer is C

Choice A reason: Keeping the room temperature cool may help with comfort but is not the immediate priority.

Choice B reason: Determining the client's food preferences is important for nutritional management but is not the first action to take.

Choice C reason:

The correct answer is c) because maintaining a patent intravenous site is crucial for administering fluids and medications to address severe dehydration and malnutrition.

Choice D reason: Teaching relaxation techniques can help with restlessness but is not the most immediate concern.

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Correct Answer is C

Explanation

Choice A reason: While chicken and rice are healthy, they do not specifically address the benefits of fiber in cancer prevention.

Choice B reason: Lean beef is not recommended for reducing the risk of colon cancer, although salads and baked potatoes are healthy choices.

Choice C reason:

The correct answer is c) because oatmeal, raisins, and fruit with skin are high in fiber, which can help reduce the risk of colon and rectal cancers.

Choice D reason: Potatoes and low-fat breads are healthy but do not provide as much fiber as oatmeal, raisins, and fruit with skin.

A. Skin condition of lower extremities. B. Sensation in feet and legs. C. Visual acuity. D. Signs of respiratory tract infection. E. Serum creatinine and blood urea nitrogen (BUN).

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason:

The correct answer is a) because checking the skin condition of the lower extremities helps identify complications like diabetic ulcers.

Choice B reason:

The correct answer is b) because assessing sensation in feet and legs helps detect neuropathy, a common complication of diabetes.

Choice C reason:

The correct answer is c) because visual acuity checks help identify diabetic retinopathy.

Choice D reason: Signs of respiratory tract infection are important but not specific to long-term complications of diabetes.

Choice E reason:

The correct answer is e) because serum creatinine and BUN levels help assess kidney function and identify nephropathy.

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An adult woman with Grave's disease is admitted with severe dehydration and malnutrition. She is currently restless and refusing to eat. Which action is most important for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which group of foods is best for the nurse to recommend for clients with a strong family history of colon and rectal cancers?

Correct Answer is C

Explanation

An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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