A nurse is admitting a client who is in a state of starvation ...

[P68T]

A nurse is admitting a client who is in a state of starvation because of anorexia nervosa. Which of the following roommate choices would indicate a lack of understanding by the nurse regarding the admitting client's health needs?
 
  1. A client with pneumonia
  2. A client who had back surgery
  3. A client with a fractured pelvis
  4. A client who has had a myocardial infarction

Question 2

The nurse is caring for an infant with congenital heart disease. Which of the following signs, if noted in the infant, would alert the nurse to the early development of congestive heart failure (CHF)?
 
  1. Pallor
  2. Strong sucking reflex
  3. Diaphoresis during feeding
  4. Slow and shallow breathing

[briezy]

Answer to Question 1

1

Rationale: The client who has been starving has a compromised immune system. Having a roommate with pneumonia would put the client at risk for infection. The other clients are ac-ceptable because their health problems do not compromise the immune system of the client with starvation.

Answer to Question 2

3

Rationale: The early symptoms of CHF include tachypnea, poor feeding, and diaphoresis during feeding. Tachycardia would occur during feeding. Pallor may be noted in the infant with CHF, but it is not an early symptom. A strong sucking reflex is unrelated to the development of CHF.

[P68T]

Excellent

[kthug]

TYSM