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During a home visit the nurse notes that an older person does not comment on the enticing smell of home baked bread coming from the oven that the older daughter has prepared. Which diagnosis should the nurse use to guide this identified persons problem?1. Readiness for enhanced comfort2. Readiness for enhanced nutrition3. Altered nutrition - less than body requirements 4. Impaired environmental-interpretation syndrome

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The nurse cares for the client who is confused. The health care providerordered that the client have cotton wrist restraints to prevent the clientfrom attempting to remove the intravenous (IV) and indwelling catheter.Which is essential for the nurse to include in the client's care plan?A. Remove the restraints for 1 hour every 4 hours.B. Remove the restraints, assess limbs, and provide skin are every hour.C. Request that the health care provider order removal of the wristrestraints for skin assessment.D. Ask the client, "Are you developing any problems from therestraints?"

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