A client reports to the ambulatory clinic with reports of ...

[frankwu]

A client reports to the ambulatory clinic with reports of frequent diarrhea. A food diary is reviewed. Which of the following items poses the greatest risk concern and warrants further discussion with the client by the nurse?
 
  1. Breakfast consisting of bran muffins and applesauce
   2. Lunch consisting of cottage cheese, peaches, and a turkey sandwich
   3. Dinner consisting of baked chicken, yeast rolls, and a small salad
   4. Snack consisting of popcorn

Question 2

The nurse is caring for an older adult client who will undergo surgery in the morning. While assessing the client, the nurse discovers that the client does not have an adequate understanding of the procedure.
 
  The nurse determines that action needs to be taken because: 1. The client is too old.
   2. The family needs to agree to surgery.
   3. The client has a right to informed consent.
   4. The nurse witnessed the consent.

[fffftttt]

Answer to Question 1

2. Lunch consisting of cottage cheese, peaches, and a turkey sandwich

Rationale:
Dairy products can contain lactose, which might be difficult for certain clients to digest, resulting in diarrhea. The remaining selections are not associated with diarrhea.

Answer to Question 2

3. The client has a right to informed consent.

Rationale:
Sometimes older adults forget and get confused. However, the nurse should notify the surgeon because the client has the right to informed consent. The client's age is not the reason for the nurse taking action. The family does not make the decision regarding surgery unless the client has been declared incompetent by the court. The nurse would want to have the surgery explained for the client's sake, not because the nurse signed the form.

[frankwu]

Thanks for the timely response, appreciate it

[parshano]

Gracias!