Answer to Question 1
ANS: D
The nurse should measure the effectiveness of nutritional interventions by evaluating the pa-tient's expected outcomes and goals of care. Nutrition therapy does not always produce rapid results. Ongoing comparisons need to be made with baseline measures of weight, serum albumin or prealbumin, and protein and kilocalorie intake. Changes in condition may indicate a need to change the nutritional plan of care.
Answer to Question 2
ANS: A
When expected outcomes are not met, the nurse should revise the nursing measures or expected outcomes based on the patient's needs or preferences, not solely on the basis of nursing stand-ards. Expectations and health care values held by nurses frequently differ from those held by pa-tients. Working closely with patients enables the nurse to redefine expectations that are realisti-cally met within the limits of conditions and treatments and to identify their dietary preferences and cultural beliefs.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
The nurse is using Standard Precautions to draw blood.
Techniques for Measuring Cosmological Distances
Measuring Oral Temperature Using an Electronic Thermometer
Measuring Blood Pressure
Measuring Wind