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Test Bank For MaternalChild Nursing 6th Edition by Emily Slone McKinney Chapter 155| Complete Guide 2022

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 1.ID: 6  A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the client on how to prevent postoperative complications. What statements by the client would indicate the need for further teaching? Select all that apply. A. “Limiting fiber is necessary to avoid diarrhea.” Correct B. “I should empty my bladder when I feel the urge.” C. “Avoiding pain medication will prevent constipation.” Correct D. “I should drink plenty of liquids like iced tea or coffee.” Correct E. “I should continue with my physical therapy and walking.”  Rationale: Constipation is common after surgery due to pain medication, decreased movement, and anesthesia. Fiber intake should be encouraged as it promotes the prevention of stool retention. Although pain medication can cause constipation, it should not be avoided in the post-operative period. Drinking plenty of fluids is encouraged for both bowel and bladder maintenance, but the client should choose non-caffeinated options. Physical therapy, walking, and exercise will help prevent constipation. Emptying the bladder when the urge is present can help prevent urinary tract infections.  Test taking strategy: Note the strategic words need for further teaching. These words indicate a negative event query and the need to select the incorrect client statements. Think about the measures needed for bowel and bladder control to answer correctly. Review: bowel and bladder maintenance.  Level of Cognitive Ability: Evaluating  Client Need: Physiological Integrity  Integrated Process: Teaching and Learning  Content Area: Fundamentals of Care: Perioperative Care  Giddens Concepts: Client Education, Health Promotion  HESI Concepts: Health Promotion, Teaching and Learning/Patient Education  References: Giddens, J. (2013). Concepts for nursing practice. (p. 143). St. Louis, MO: Mosby.  Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th  ed., pp. 969, ). St. Louis: Mosby.  Awarded 3.0 points out of 3.0 possible points.  2.ID: 8  The nurse is caring for a Vietnamese client diagnosed with tuberculosis. The client speaks limited English. What should the nurse do to ensure the client and family receives the most accurate information? Select all that apply. A. Provide culturally sensitive education. Correct B. Encourage family members to obtain a tuberculosis skin test. Correct C. Provide written instructions in English for the client to reference. D. Encourage the client and family to wash all dishes by hand to prevent the spread of infection. Incorrect E. Urge all family and close contact community members to seek and complete treatment to enhance compliance. Correct  Rationale: As always, the nurse must provide culturally sensitive education. Because tuberculosis is highly contagious, all family members and close community members should have a tuberculosis skin test, seek treatment, and remain compliant. A full course of 6-9 months of treatment is needed to prevent re-infection. Instructions written in English are not helpful for the client with limited English skills. Washing dishes by hand is not the best way to prevent infection; rather a dishwasher should be used if available.  Test Taking Strategy: Focus on the strategic word most to select correct options that relate to appropriate teaching for both the client and family members. Also, focusing on the data in the question will assist in answering. Review: Tuberculosis  Level of Cognitive Ability: Applying  Client Needs: Safe and Effective Care Environment  Integrated Process: Nursing Process: Implementation  Content Area: Fundamentals of Care: Infection Control  Priority Concepts: Client Education, Infection  HESI Concepts: Infection, Teaching and Learning/Patient Education  References: Giger, J. (2013). Transcultural nursing assessment & intervention. (6th  ed. p. 445, 455). St. Louis: Mosby.  Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed., p. 533). St. Louis: Mosby.  Awarded 1.0 points out of 3.0 possible points.  3.ID: 4  A client with anxiety has just been seen by the health care provider and has been prescribed alprazolam. The client asks the nurse how long it will take for the medication to build up a steady state in her body. If the half life of this medication is approximately 11 hours, approximately how long will it take for this medication to build up and reach a steady state? _____ hours  Incorrect  Correct Responses A. 55  Rationale: The half life of a medication is the amount of time it takes for 50% of the medication to leave the system. Steady state is the point where the concentration of the medication is equal based on the medication leaving the body system and new medication entering the system. Alprazolam has a half life of 11 hours. For all medications, it takes approximately five times the half life to reach steady state. Therefore the steady state for this medication is 55 hours (11 x 5 = 55).  Test taking strategy: Focus on the subject, the time it takes to achieve a steady state of alprazolam in the body. Use the half life of the medication to calculate. Follow the calculation for steady state of five times the half life and verify your answer using a calculator. Review: half life of alprazolam.  Level of Cognitive Ability: Understanding  Client Need: Safe and Effective Care Environment  Integrated Process: Nursing Process/Assessment  Content Area: Fundamentals of Care: Medications and Administration  Priority Concepts: Cellular Regulation, Safety  HESI Concepts: Cellular Regulation, Safety  References: Rosenjack Burchum, Rosenthal (2016), pp. 374-375  Stuart, G. (2013). Principles and practice of psychiatric nursing (10th ed., p. 526). St. Louis, MO: Mosby.  Awarded 0.0 points out of 1.0 possible points.  4.ID: 9  The nurse is observing the cardiac monitor of a client and notes this cardiac rhythm (refer to figure). What is the initial nursing action?  A. Check for a pulse Correct B. Notify the health care provider C. Obtain a 12 lead electrocardiogram (ECG) D. Begin cardiopulmonary resuscitation (CPR)  Rationale: Ventricular tachycardia can be stable or unstable depending on whether the client has a pulse or not. In this case, assessing the client’s pulse is the initial action. Obtaining a 12 lead ECG and notifying the health care provider may be necessary but are not initial actions. Initiating CPR may be necessary of the ventricular tachycardia becomes unstable and cardiac arrest occurs.  Test-Taking Strategy: Note eh strategic word, initial. Use the steps of the nursing process and recall that assessment is the first step and the first action to take. Review: Ventricular Tachycardia  Level of Cognitive Ability: Analyzing  Client Need: Physiological Integrity  Integrated Process: Nursing Process/Implementation  Content Area: Adult Health: Cardiovascular  Priority Concepts: Clinical Judgment, Perfusion  HESI Concepts: Clinical Decision-Making/Clinical Judgment, Perfusion  Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th  ed., pp. 799-800). St. Louis: Mosby.  Awarded 1.0 points out of 1.0 possible points.  5.ID: 3  A mother brings her 9-month-old child to see the pediatrician and has concerns that the child may have a developmental delay because the child cannot roll over yet. for the nurse should ask the mother about which risk factors associated with a developmental delay? Select all that apply. A. Age B. Race Incorrect C. Income Correct D. Chronic illness Correct E. Low birth weight Correct F. Environmental exposure to toxins Correct  Rationale: Developmental delays can occur at any age, however, it is most commonly seen in infancy through adolescence. Developmental delays can occur regardless of race. Children living in poverty, those with chronic illnesses, low birth weight, or exposure to environmental exposure to toxins are at a higher risk for developmental delays.  Test taking strategy: Focus on the subject, risk factors associated with a developmental delay. Recall that developmental delays that occur in children are caused by prenatal, birth, social, and health risks. This will help eliminate the incorrect answers of age and race. Review: risk factors for developmental delays  Level of Cognitive Ability: Analyzing  Client Need: Health Promotion and Maintenance  Integrated Process: Nursing Process/Assessment  Content Area: Developmental Stages: Infancy to Adolescence  Priority Concepts: Development, Patient Education  HESI Concepts: Developmental, Teaching and Learning/Patient Education  References: Giddens, J. (2013). Concepts for nursing practice. (p. 4). St. Louis, MO: Mosby.  Hockenberry, M, & Wilson, D. (2015). Wong’s nursing care of infants and children (10th  ed. pp. 18-19, 432, 777). St Louis: Mosby.  Awarded 1.0 points out of 4.0 possible points.  6.ID: 8  The nurse in a pediatric unit is planning the staff assignments for children with developmental delays. When planning the assignment, the nurse decides to assign those children who have social or emotional delays amongst different nurses. Which children should be assigned to different nurses? Select all that apply. A. A child with autism Correct B. An infant with fetal alcohol syndrome Incorrect C. A child with attention deficit disorder D. A child with generalized anxiety disorder Correct E. A child with expressive language disorder Incorrect  Rationale: A developmental delay is defined as not meeting the expected developmental level. Social and emotional developmental delays include those affecting personality, emotion, or behaviors. Two examples are autism, and generalized anxiety disorder. Attention deficit disorder and fetal alcohol syndrome are classified as cognitive developmental delays, and expressive language disorder is a communication developmental delay.  Test Taking Strategy: Focus on the subject, planning assignments and children with social and emotional developmental delays. Use knowledge of the different types of developmental delays to eliminate those options. Review: developmental delays  Level of Cognitive Ability: Creating  Client Need: Safe and Effective Care Environment  Integrated Process: Nursing Process/Planning  Content Area: Developmental Stages: Infancy to Adolescence  Priority Concepts: Care Coordination, Development  HESI Concepts: Care Coordination, Development  References: Giddens, J. (2013). Concepts for nursing practice. (p. 4, 8-9). St. Louis, MO: Mosby.  Hockenberry, M, & Wilson, D. (2015). Wong’s nursing care of infants and children (10th ed. pp. 147-148). St Louis: Mosby.  McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013). Maternalchild nursing (4th  ed., pp. ). St. Louis: Elsevier.  Awarded -1.0 points out of 2.0 possible points.  7.ID: 6  The client has been prescribed amoxiciilin 250 mg three times daily for sinusitis. The medication is supplied in a 500 mg tablet. How many tablet(s) would the nurse prepare every 8 hours to administer the correct dose? Fill in the blank. Record the answer using one decimal place. _____________ tablet(s)  Correct  Correct Responses A. 0.5  Rationale:  Use the medication calculation formula to calculate the correct dose.  Desired 250 mg  __________ = __________ = 0.5 tablets   Available = 500mg  Test-Taking Strategy: Focus on the subject, a medication calculation. Once you have performed the calculation, verify your answer with a calculator. Be aware of non-important numbers in the question that can be confusing. In this question, three times a day and 8 hours are not used in the calculation. Lastly, ensure that your answer makes sense. Review: medication calculations.  Level of Cognitive Ability: Applying  Client Needs: Physiological Integrity  Integrated Process: Nursing Process: Implementation  Content Area: Fundamental of Care: Medication/IV Calculations  Priority Concepts: Clinical Judgment, Safety  HESI Concepts: Clinical Decision-Making/Clinical Judgment, Safety  Reference: Perry, A., Potter, P., & Ostendorf, W. (2014). Clinical nursing skills & techniques  (8th ed., pp. 486-487). St. Louis: Mosby.  Awarded 1.0 points out of 1.0 possible points.  8.ID: 1  The nurse is caring for a client admitted to the hospital for shortness of breath and edema in both lower extremities. The client is prescribed furosemide 40mg by the intravenous route once daily. What information in the chart would warrant the nurse to verify continuing the prescription with the health care provider (HCP)? Refer to chart.  H i s t o r y a n d P h y s i c a l  La bo rat or y Fin din gs  M ed ic at io ns  E x p i r  Bl oo d pr es  Li si no pr il atoryralesonauscultation sur e 14 5/ 94mm Hg 20m g or all y da ily  PeripheralVa  Se ru m Po tas siu m 3. 5 m Eq /L  At or va st at in 10m g or all s c u l a r D i s e a s e ( P V D ) (3. 5 m m ol/ L) y at be dt im e A. Expiratory rales B. Atorvastatin prescription C. Peripheral vascular disease D. Potassium level of 3.5 mEq/L (3.5 mmol/L) Correct  Rationale: Furosemide is a potassium-losing diuretic. The serum potassium level of 3.5mEq/L (3.5 mmol/L) is on the lower limit of normal, and the nurse should anticipate that the potassium level would drop with the administration of furosemide. Therefore, the nurse should verify continuing the prescription if this potassium level was noted. Expiratory rales are an expected finding with fluid overload and furosemide would be an appropriate treatment. Atorvastatin and peripheral vascular disease are not impacted by the administration of furosemide.  Test-Taking Strategy: Focus on the subject, the need to verify continuing the prescription. Note the data in the question and that the client is receiving furosemide. Recall that furosemide is a potassium-losing diuretic. Think about the side and adverse effects of this medication to answer correctly. Review: furosemide  Level of Cognitive Ability: Synthesizing  Client Needs: Safe and Effective Care Environment  Integrated Process: Nursing Process: Analysis  Content Area: Fundamentals of Care: Fluids & Electrolytes  Priority Concepts: Collaboration, Safety  HESI Concepts:  Collaboration/Managing Care, Safety  Reference: Rosenjack Burchum, Rosenthal (2016), pp. 456-457.  Awarded 1.0 points out of 1.0 possible points.  9.ID: 3  A nurse employed at a nursing home is caring for a client who has recently been transferred from the hospital to the nursing home. The client is confused and is acting out. The nurse suspects the client is suffering from relocation stress. The nurse should include which helpful actions in the plan of care? Select all that apply. A. Encourage friends and family to visit frequently. Correct B. Establish a trusting relationship with the client as soon as possible. Correct C. Change rooms frequently to prevent the client from becoming bored. D. Ensure the client is an active part of decision making regarding their care. Correct E. Allow the client to move around the halls as desired to decrease the confusion and acting-out.  Rationale: Relocation stress can occur when a client is removed from their usual surrounding such as home. In order to provide safe and quality care, encourage friends and family to visit the client often and establish a trusting relationship with the client as soon as possible. It is important for the client to have an active role in decision-making. In order to lessen confusion, the nurse should provide the client time to become familiar with the immediate surroundings such as his or her room before allowing or encouraging ambulation to new surroundings; allowing the client to move around the halls as desired may increase confusion and acting-out behaviors. Likewise, changing the client’s room frequently may increase confusion.  Test-Taking Strategy: Focus on the subject, relocation stress. Also note that the client is confused and acting-out. Think about this type of stress and the manifestations and what you might expect from a client who is experiencing relocation stress. Use that knowledge to determine appropriate nursing actions. Review: relocation stress.  Level of Cognitive Ability: Creating  Client Needs: Safe and Effective Care Environment  Integrated Process: Nursing Process: Planning  Content Area: Fundamentals of Care: Safety  Priority Concepts: Safety, Stress  HESI Concepts: Safety, Stress and Coping  References: Ignatavicius, D. M., & Workman, L. (2013). Medical-surgical nursing: Patient-centered collaborative care. (7th  ed. p. 19). St. Louis, MO: W.B. Saunders Company.  Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed., p. 70). St. Louis: Mosby.  Awarded 2.0 points out of 3.0 possible points.  10.ID: 2  The nurse is caring for a client in the hospital and is reconciling the client’s home medications. The client is taking Lactobacillus,  a probiotic over-the counter medication. The nurse is discussing the supplement with the client. What statement by the client would warrant the need for further teaching? Select all that apply. A. “I can take my probiotic at any time of day or night.” Correct B. “Probiotics can be found in yogurt and some juices.” C. “I should take this supplement to prevent gas and bloating.” Correct D. “Because I’m lactose intolerant, a probiotic would not benefit me.” Correct E. “This supplement will help me avoid getting diarrhea from antibiotics.” Incorrect  Rationale: Probiotics are live microorganisms that are similar to those found naturally occurring in the gastrointestinal tract. Probiotics should be taken as directed, usually with a meal, and can have a side effect of gas and bloating. If gas an bloating do occur, the client should be advised to try a different type of probiotic. Probiotics are recommended for those clients who are lactose intolerant. Probiotics are found in foods such as yogurts and some juices and can be helpful to treat antibiotic-associated diarrhea.  Test-Taking Strategy: Note the strategic words, need for further teaching. These words indicate a negative event query and the need to select he incorrect client statements. Use knowledge of probiotic supplements to determine the correct options. Review: the uses and effects of probiotics  Level of Cognitive Ability: Evaluating  Client Needs: Health Promotion and Maintenance  Integrated Process: Teaching and Learning  Content Area: Pharmacology: Gastrointestinal Medications  Priority Concepts: Client Education, Health Promotion  HESI Concepts: Health Promotion, Teaching and Learning/Patient Education  References: Ignatavicius, D. M., & Workman, L. (2013). Medical-surgical nursing: Patient-centered collaborative care. (7th  ed. p. 10). St. Louis, MO: W.B. Saunders Company.  Rosenjack Burchum, Rosenthal (2016), pp. .  Awarded 1.0 points out of 3.0 possible points.  11.ID: 8  The nurse educator is presenting a lecture on child neglect. Which statement by one of the students indicates that the teaching has been effective? Select all that apply. A. “A sign of neglect are bruises on the child’s body.” Correct B. “Neglected children show aggression after age 10.” C. “Neglect is parental failure to meet a child’s basic needs.” Correct D. “Neglected children often have learning problems and low selfesteem.” Correct E. “Neglect occurs when a parent does not seek medical attention for a sick child.” Correct  Rationale: Neglect has serious consequences for children. Basically, there are 5 types of child neglect: physical neglect; psychological or emotional neglect; medical neglect; mental health neglect; and educational neglect. One sign of physical neglect is bruising on the child’s body. Neglect is the parental failure to meet a child’s basic needs such as: food, shelter, comfort, love, and medical attention. Consequences of neglect include: learning problems, low self-esteem, developmental delays, passivity and juvenile delinquency. Children who are neglected often show signs of aggression before the age of 2.  Test-Taking Strategy: Focus on the strategic word “effective”. Determine which statements indicate that the teaching has been effective, by determining which statements are true. Note the age of the child in option 2. This will assist in eliminating this option. Review: Signs of child abuse.  Level of Cognitive Ability: Evaluating  Client Needs: Psychosocial Integrity  Integrated Process: Teaching and Learning  Content Area: Leadership/Management  Giddens Concepts: Health Care Law, Interpersonal Violence  HESI Concepts: Health Policy/Systems – Health Care Law, Violence  References: Giddens, J. (2013). Concepts for nursing practice. (1st ed., p. 353). St. Louis: Mosby.  Hockenberry, M, & Wilson, D. (2015). Wong’s nursing care of infants and children (10th ed. p. 562). St Louis: Mosby.  Awarded 3.0 points out of 4.0 possible points.  12.ID: 7  The nurse is obtaining the medical history from an older client with a black eye and bruising to the head. The nurse suspects that the client has been abused, and that there may be a history of abuse. Which statement by the client indicates the need for further questioning by a social worker? Select all that apply. A. “Perhaps I somehow did this to myself.” Correct B. “I tripped over a rug and now I have a black eye.” Correct C. “I got into a car accident yesterday and the airbag deployed.” D. “Well, I don’t remember anything that would have caused the injuries.” Correct E. “Sometimes my grandson becomes angry with me when I can’t give him money.” Correct  Rationale: There are certain elements in the medical history that raise concern for physical abuse. Perpetrators may provide a history of events that are incomplete or inconsistent with injuries seen. Many individuals who experience interpersonal violence are unable or afraid to provide an accurate account of events. Often individuals will provide a history of trauma that is inconsistent with the physical examination. It is unlikely that these injuries were self-inflicted or the result of tripping over a rug. Having no recollection of how an injury occurred should be an alert to the nurse, as well as statements that another person caused the injury. The nurse should immediately report this to a health care provider and the social worker so that proper intervention and follow-up can be arranged. A car accident with air bag deployment could reasonably cause the injuries to the client. The nurse should continue on with assessment, treatment and arrange follow-up care for the client.  Test-Taking Strategy: Focus on the subject, “abuse to an older client”. Determine which statements made by the client would indicate that abuse may be occurring. Abuse individuals often make statements that do not correlate with injuries. Eliminate option 3, because air bag deployment could have caused the client’s injuries. Review: Signs of abuse in the older client.  Level of Cognitive Ability: Analyzing  Client Needs: Psychosocial Integrity  Integrated Process: Nursing Process/Assessment  Content Area: Leadership/Management  Giddens Concepts: Clinical Judgment, Interpersonal Violence  HESI Concepts: Health Policy/Systems – Health Care Law, Violence  References: Giddens, J. (2013). Concepts for nursing practice. (1st ed., p. 354.). St. Louis: Mosby.  Hockenberry, M, & Wilson, D. (2015). Wong’s nursing care of infants and children (10th ed. pp. 565-566). St Louis: Mosby.  Awarded 3.0 points out of 4.0 possible points.  13.ID: 8  The nurse is meeting with an older client who was brought into the health care facility for evaluation. According to the family member, the client has lost a large amount of weight recently and does not eat much. Which actions would be the most important for the nurse to take? Select all that apply. A. Assess the client's eyesight. Correct B. Question the client about urinary habits. C. Obtain a list of the client's medications. Correct D. Determine the fit of the client's dentures. Correct E. Assess the client for mental status changes. Correct  Rationale: Older adults in the community or in any health care setting are most at risk for poor nutrition. The nurse should review the medical history to determine the possibility of increased metabolic needs or nutritional losses, chronic disease, trauma, recent surgery of the gastrointestinal tract, drug and alcohol abuse, and recent significant weight loss. Each of these conditions can contribute to malnutrition. As part of a thorough assessment, the nurse should assess the client's eyesight. Clients with poor vision are often not able to drive to obtain groceries or cook for themselves. The nurse should also obtain a list of the client's medications, both prescription and over-the-counter. Certain medications can alter the taste perception and decrease the desire to eat. It is also important for the nurse to determine the fit of the client's dentures. Poor fitting dentures can lead to painful sores, which lead to a decrease in food intake. The nurse should also include an assessment of the client's mental status, observing for behavoir that may be abnormal for the client. Utilizing the family member's knowledge of the client's typical behavior will be important in the treatment of this client. While the client's urinary status is important to assess, it is not the most important action for the nurse to take at this time because it is not directly related to weight loss.  Test-Taking Strategy: Focus on the strategic words, “most important”. Next, determine which actions would help the nurse determine the cause of the client’s weight loss. Eliminate option 2, because questioning the client’s urinary habits would not be directly related to determining the cause of weight loss. Review: Older Adult Nutrition.  Level of Cognitive Ability: Analyzing  Client Needs: Physiological Integrity.  Integrated Process: Nursing Process/Implementation.  Content Area: Nutrition  Giddens Concepts: Clinical Judgment,  Nutrition  HESI Concepts: Clinical Decision-Making/Clinical Judgment, Metabolism - Nutrition  Reference: Ignatavicius, D & Workman, M. (2013). Medical-surgical nursing: Patient-centered collaborative care. (7th ed., p. 1341). Philadelphia: Saunders.  Awarded 3.0 points out of 4.0 possible points.  14.ID: 1  The nurse is caring for a malnourished client with dementia and a history of rheumatoid arthritis, and is creating a plan of care for the client’s nutrition. Which nursing actions are most appropriate for increasing the client's caloric intake? Select all that apply. A. Provide pain medications as needed. Correct B. Play soft, calming music during mealtimes. Correct C. Serve the food at the appropriate temperature. Correct D. Provide the client with six small meals per day. Correct E. Encourage the client to eat quickly, to prevent fatigue.  Rationale: Malnutrition results from inadequate nutrient intake, increased nutrient losses, and increased nutrient requirements. Inadequate nutrient intake can be linked to poverty, lack of education, substance abuse, decreased appetite, and a decline in functional ability to eat independently, particularly in older adults. In order to support the client, the nurse should provide pain medication as needed so that the client is comfortable during meal times. The nurse can make mealtime positive by providing a quiet environment, which is conducive to eating. Soft music may calm those with advanced dementia or delirium. It is important that the nurse serve the client’s food at the appropriate temperature, in order to make the food appealing to the client. Arranging for the client to eat six small meals per day, instead of three large meals, may increase the client’s desire to eat, and prevent the client from being overwhelmed by a large amount of food at each meal. It is important that the nurse avoid rushing the client through a meal, but allow as much time as needed.  Resource: Ignatavicius, D & Workman, M. (2013). Medical-surgical nursing: Patient-centered collaborative care. (7th ed., p. 1340, 1343). Philadelphia: Saunders.  Test-Taking Strategy: Focus on the strategic words, “most appropriate.” Eliminate option 5, because this action would likely cause the client to take in fewer calories. Review: Malnutrition.  Level of Cognitive Ability: Creating  Client Needs: Physiological Integrity  Integrated Process: Nursing Process/Planning  Content Area: Nutrition  Giddens Concepts: Health Promotion,  Nutrition  HESI Concepts:Health, Wellness, and Illness – Health Promotion, Metabolism - Nutrition  Reference: Ignatavicius, D & Workman, M. (2013). Medical-surgical nursing: Patient-centered collaborative care. (7th ed., p. 1340, 1343). Philadelphia: Saunders.  Awarded 3.0 points out of 4.0 possible points.  15.ID: 4  The nurse is educating a client on obesity. Which statements by the client indicate a need for further teaching? Select all that apply. A.

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