Nursing Interventions Exam 3

What is the rate of administration for packed red blood cells?

1 unit over 2 to 3 hours, no longer than 4 hours

Adequate amount of fluid an adult should intake?

2500 ml/day

A client reports she has lactose intolerance and questions the nurse about alternative sources of calcium. What options can be provided by the nurse?

Leafy greens (spinach), sardines, whole grains

During a visit to the pediatrician's office, a mother inquires about adding solid foods to the diet of her infant age 6 months. What does the nurse inform the mother?

New foods should be introduced one at a day for a period of 5 to seven days

The client reports to the nurse that she feels as if her eyes are persistently dry. This symptom is consistent with a deficiency in which dietary element?

Vitamin A

What does calcium help with in the body?

Wound healing, synaptic transmission is nerve tissue, membrane excitability and blood clotting

Which is a fat soluble vitamin? Vitamin A,B,C,E

vitamin E

Which client will have more adipose tissue and less fluid?

A woman

A nurse is assessing a client and suspects an ECF volume excess. Which finding would the nurse identify as being most significant?

Although increased blood pressure, bounding pulse, and distended neck veins are signs of ECF volume excess, rapid weight gain (more than 0.5 kg per day) is the most significant symptom indicating ECF volume excess. A weight gain of 1 kg reflects retention of 1 L of ECF. Additionally, because the veins are very distensible, large volumes of fluid can be retained without any increase in blood pressure or changes in pulse or neck veins.

The student nurse asks, "what it interstitial fluid?" What is the appropriate nursing response?

Fluid in the tissue space in and around cell

A nurse is reviewing the client's serum electrolyte levels which are as follows: Sodium: 138 mEq/L (138 mmol/L) Potassium: 3.2 mEq/L (3.2 mmol/L) Calcium: 17.6 mg/dL (4.4 mmol/L) Magnesium: 3.89 mg/dL (1.6 mmol/L) Chloride: 100 mEq/L (100 mmol/L) Phosphate: 5.75 mg/dL (1.8 mEq/L)

hypokalemia

A postmenopausal client wishes to increase the amount of vitamin D that she consumes to help keep her bones strong. Which food will the nurse recommend?

milk

An intravenous hypertonic solution containing dextrose, proteins, vitamins, and minerals is known as:

total parental nutrition