When planning care for the client with obesity who is having a gastric restrictive procedure, the nurse would include interventions designed to (Select all that apply)
a. encourage the client to lose 4-6 pounds a week.
b. ensure client and nurse safety.
c. monitor the client while taking weight loss medication.
d. prevent wound and skin complications.
B, D
To ensure safety, oversized equipment may be needed for the client who is obese, including scales, wheelchairs, bed, and other supplies like blood pressure cuffs. Skin management is a major concern as these clients have a higher incidence of skin problems and wound healing problems. Clients who are having surgical management of their obesity have not been successful with other weight loss regimens, including medications. Generally, 30% of the client's presenting weight is lost in the first year after surgery.
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When reviewing the musculoskeletal system, the nurse recalls that hematopoiesis takes place in the:
a. Liver. b. Spleen. c. Kidneys. d. Bone marrow.
Which of the following is the classic sign of intensely high intracranial pressure and risk for brain herniation?
a. projectile vomiting and severe headache b. veins that stand out noticeably on the face and the neck c. severe earache as well as neck and facial pain d. one dilated pupil and contralateral spasticity or flaccidity
Keeping Patients Safe and The Future of Nursing reports both address important nursing issues related to leadership and management. What aspect of healthcare delivery do they both emphasize in relationship to nurses?
1. Nursing image is an important aspect of the profession and its success. 2. Nurses should be leaders in quality improvement, but are not fully prepared for this leadership. 3. Nursing leadership is focused on formal management positions in healthcare organizations. 4. Nursing scope of practice is important and needs to be broadened.
A patient asks about strategies that can be used to aid in weight reduction. The nurse can inform the patient to follow a well-balanced diet, including selections of low-fat foods such as:
A. grilled chicken. B. hot dog with relish. C. hamburger and French fries. D. baked potato with bacon and cheese.