Free NCLEX-RN Exam Braindumps (page: 174)

Page 174 of 431

A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in the hospital for a course of IV antibiotic therapy and vigorous chest physiotherapy. He has a poor appetite. The nurse can best help him to meet the desired outcome of consuming a prescribed number of calories by:

  1. Including the client in planning sessions to select the type of meal plan and foods for his diet
  2. Working with the nutritionist to devise a diet with significantly increased calories
  3. Selecting foods for the client's diet that are high in calories and instituting a strict calorie count
  4. Constantly providing him with chips, dips, and candies, because the number of calories consumed is more important than the quality of foods

Answer(s): A

Explanation:

(A) The adolescent knows what he likes and will be more likely to eat if he has some control over his diet. (B) The nurses and nutritionist can plan an excellent diet, but it will not help the adolescent unless he eats it. (C) Eating is already a chore for this client. Adding a strict calorie count could make it even more burdensome. (D) Fats are particularly difficult for the cystic fibrosis client to digest. He does need a healthful diet, not just more calories.



A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in the hospital for a course of IV antibiotic therapy and vigorous chest physiotherapy. He has a poor appetite. The nurse can best help him to meet the desired outcome of consuming a prescribed number of calories by:

  1. Including the client in planning sessions to select the type of meal plan and foods for his diet
  2. Working with the nutritionist to devise a diet with significantly increased calories
  3. Selecting foods for the client's diet that are high in calories and instituting a strict calorie count
  4. Constantly providing him with chips, dips, and candies, because the number of calories consumed is more important than the quality of foods

Answer(s): A

Explanation:

(A) The adolescent knows what he likes and will be more likely to eat if he has some control over his diet. (B) The nurses and nutritionist can plan an excellent diet, but it will not help the adolescent unless he eats it. (C) Eating is already a chore for this client. Adding a strict calorie count could make it even more burdensome. (D) Fats are particularly difficult for the cystic fibrosis client to digest. He does need a healthful diet, not just more calories.



A 48-year-old client presents with a long history of severedepression unrelieved by medication. He is admitted to the hospital for electroconvulsive therapy. Familymembers are very concerned about this therapy and are requesting information about aftereffects of the treatment. The nurse informs the family that he will:

  1. Have transient memory loss, confusion, andheadache
  2. Be alert and oriented immediately after the treatment
  3. Have insomnia for the first few days
  4. Require no special care after the procedure

Answer(s): A

Explanation:

(A) This answer is correct. The client will be confused and have a memory loss, which is usually temporary, after electroconvulsive shock therapy. (B) This answer is incorrect. The client will experience transient memory loss, look bewildered, and be confused initially. (C) This answer is incorrect. The client will sleep immediately following the treatment. (D) This answer is incorrect. Vital signs are taken at least hourly after treatment. The client is monitored for hypotension, tachycardia, respiratory problems, and possible seizure activity.



A 48-year-old client presents with a long history of severedepression unrelieved by medication. He is admitted to the hospital for electroconvulsive therapy. Familymembers are very concerned about this therapy and are requesting information about aftereffects of the treatment. The nurse informs the family that he will:

  1. Have transient memory loss, confusion, andheadache
  2. Be alert and oriented immediately after the treatment
  3. Have insomnia for the first few days
  4. Require no special care after the procedure

Answer(s): A

Explanation:

(A) This answer is correct. The client will be confused and have a memory loss, which is usually temporary, after electroconvulsive shock therapy. (B) This answer is incorrect. The client will experience transient memory loss, look bewildered, and be confused initially. (C) This answer is incorrect. The client will sleep immediately following the treatment. (D) This answer is incorrect. Vital signs are taken at least hourly after treatment. The client is monitored for hypotension, tachycardia, respiratory problems, and possible seizure activity.



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