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NEW QUESTION 33
A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:
- A. monitor glucose levels.
- B. check albumin level.
- C. measure intake and output.
- D. increase enteral feeding.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
It is important to measure intake (I) and output (O), which should be approximately equal. Enteral feedings are hyperosmotic agents pulling fluid from cells into the vascular bed. Water given before feeding presents a hyperosmotic diuresis. I and O measures assess fluid balance. Basic Care and Comfort
NEW QUESTION 34
The difference between spirituality and religion is that spirituality is:
- A. an individual's relationship with a higher power.
- B. a belief in an invisible energy or ideal.
- C. organized worship.
- D. a belief about a higher power.
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Religion can be considered a system of beliefs, practices, and ethical values about a divine or superhuman power or powers worshipped as the creator(s) and ruler(s) of the universe. Spirituality is a belief in or relationship with some higher power, creative force, driving being, or infinite source of energy.
Psychosocial Integrity
NEW QUESTION 35
An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?
- A. "I think I was a lonely child because I could not tell anyone about my abuse."
- B. "I am now aware of how deep-seated my anger is. Before I did not realize I was angry."
- C. "The program has given me the courage to tell my mother how I felt about her role in my hurt."
- D. "There are so many people just like me, who are just normal people that had bad things happen to them."
Answer: B
Explanation:
Explanation/Reference:
Explanation:
Children who are abused learn to cope with the painful experiences by ignoring painful feelings and avoiding getting close to people. As adults, victims of abuse usually continue to repress feelings, avoid close interpersonal relationships, and frequently use alcohol or drugs to block painful memories. Long-term effects in adults might include criminal/violent behavior (for adult males), substance abuse, and a variety of social and emotional problems (including suicidal thoughts, anxiety, hostility, dissociation, and interpersonal difficulties). Psychosocial Integrity
NEW QUESTION 36
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