EAQ Basic Care and Comfort

Which food choice by the client indicates understanding after the nurse has provided education regarding a low-sodium diet?

Banana

Which intervention is best to soothe a hospitalized infant who appears to be in pain?

Holding the infant to provide physical security

should mothers give low fat milk to infants

no, cholesterol is needed for proper neurologic development in infants

Which intervention would the nurse offer the client to help relieve the symptoms of sinusitis?

saline irrigation

plan of care regarding maternal nutrition care for a postpartum client who will breastfeed the newborn

It is recommended that the postpartum client who breastfeeds the newborn increase fluid intake by adding 1 L (i.e., 1000 mL) per day. Postpartum clients who will breastfeed increase, not decrease, vitamin D intake. The breastfeeding postpartum client should double, not triple, prepregnancy intake of folic acid. The breastfeeding postpartum client increases vitamin and mineral intake by 20% to 30%, not 10%.

Which nursing intervention is unique to infants with cleft lip?

Using modified techniques for feeding

How many daily ounces of juice would the nurse recommend to the parent of a 2-year-old child?

4

Abduction

Abduction is the movement of an extremity away from the midline of the body.

Dorsiflexion

Dorsiflexion is the body movement that facilitates the top of the foot elevating or tilting upward.

Which intervention by the nurse would be important while a client who has breast cancer and postlumpectomy chemotherapy receives outpatient radiation?

Radiation is damaging to the skin and may cause it to become sensitive and friable. An irradiated site should be cleansed only with water. Lotion may contain compounds that alter the direction of x-rays

Which movement results in the palm facing upward or forward?

Supination is a type of hand and forearm movement that facilitates the palm facing upward or forward

interventions the nurse would use in a client with paralysis after a cerebrovascular accident

The nurse should administer stool softeners and laxatives as ordered, inspect the skin for pressure-related redness or edema, assist the client to change position at least every 2 hours, and apply graduated compression stockings or sequential compression devices as ordered when caring for a client with impaired mobility secondary to paralysis. Clients should not lie on one side for more than 30 minutes at a time.

Which action would the nurse take in providing care for an 8-month-old infant restrained to prevent interference with an intravenous infusion?

The nurse should remove the restraints whenever possible. When parents and/or staff are present, the restraints can be removed, and the intravenous site protected. Restraints should not be maintained constantly; they must be removed every 1 to 2 hours so that circulation checks and range of motion can be done.

A child with juvenile idiopathic arthritis has difficulty getting ready for school in the morning because of joint pain and stiffness. Which recommendation would the nurse make to the family?

Warm, moist heat will reduce inflammation and pain and thus promote mobility.

Which action does the nurse implement to decrease the postpartum client's risk for constipation?

encourage ambulation

Which substance would a nurse teach a group of clients with irritable bowel syndrome to minimize in the diet to decrease gastrointestinal (GI) irritability?

soda- The caffeine in soda is chemically irritating to the intestinal mucosa

Complications for a patient diagnosed with Preeclampsia

weight gain, seizure activity, heart failure, pulmonary edema, cerebral edema