1. A client with irritable bowel syndrome is recovering from surgery to create an ileostomy what foods should the nurse instruct the client to avoid to reduce the risk of food blockage: Dried fruits... & nuts Rationale: Answer: dried fruits and nuts can cause a blockage in the small intestine theclient should be instructed to avoid these food items with an ileostomy 2. A client with malnutrition is assessed for osteomalacia what data show the nurse review to determine their clients risk for this health problem: Answer: Vitamin D levels Rationale: Malnutrition has widespread affects on various organ systems osteomalacia is defective mineralization of newly formed bones secondary to chronic deficiency of vitamin D it results in soft, weak bones that fracture easily vitamin D levels will provide the nurse with the most accurate information regarding this health problem 3. The nurse has determine an adolescent client needs reinforcement education about prevention of a sickle cell crisis which instruction should the nurse include select all that apply: Answer: Wear warm clothes outside in cold weather take your hydroxyurea (Droxia) daily as prescribed Drink at least eight 12 ounces glasses of water a day Get regular exercise but do not exercise so much that you become tired Rationale: Vaso-occlusive crisis is the most common clinical manifestation of a sickle cell disease. it occurs when the micro circulation is obstructed by sickling of the red blood cells resulting in local tissue ischemia and severe pain. the three most common identify triggers for the development of a vaso-occlusive crisis are hypoxemia, dehydration, and body temperature changes 4. The nurse is caring for a client with schizophrenia who has refused they are risperidone for the last week the client has been suspicious of nursing staff and periodically aggressive for the past three days today the client [Show More]
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