The home health care nurse is preparing a care plan for a client admitted with anemia. The client currently lives alone and states, "I can't even take a shower without getting winded."
Which of the following would be the priority nursing diagnosis for this client? 1. Activity Intolerance
2. Anxiety
3. Hopelessness
4. Altered Nutrition, Less than Body Requirements
1. Activity Intolerance
Rationale:
Activity Intolerance would be a priority diagnosis for this client. While anxiety, hopelessness, and altered nutrition may be appropriate nursing diagnoses for this client, they are not the priority.
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In international time, 4:08 PM is:
a. 0408 hours. c. 1608 hours. b. 1508 hours. d. 1708 hours.
The nurse is caring for a pregnant client who has scoliosis that has affected sensation below the level of the umbilicus. What should the nurse instruct the client to do, to reduce the risk of adverse effects during pregnancy? Select all that apply
1. Walk slowly and deliberately. 2. Limit the amount of daily exercise. 3. Eat fewer calories to restrict weight gain. 4. Ingest adequate amounts of fruits, vegetables, and water. 5. Review signs of pending labor other than uterine contractions.
The nurse teaches a client about proper foot care and concludes that further teaching is required when the client says:
1. "I will soak my feet in warm water and alcohol to prevent infection." 2. "I will be careful to dry my feet between the toes." 3. "I will wash any cut with soap and water and apply an antiseptic." 4. "I will notify the nurse if I notice an open sore with drainage on my foot."
The nurse is providing information about high cholesterol levels. What is the rationale for avoiding saturated fats?
a. They block absorption of nutrients b. They interfere with metabolism c. They increase blood cholesterol d. They must be hydrogenated