The nurse is part of a committee examining ways to most effectively meet the goals of Healthy People 2020. Which of the following clients would be the nurse's highest priority client?
1. A 16-year-old girl with her first pregnancy
2. A diabetic client who maintains optimal visual intactness
3. An IV drug abuser who converts to methadone use
4. Several obese school-age children
2
Rationale 1: A 16 year old with a pregnancy does not indicate healthy behavior across the life span.
Rationale 2: The diabetic client maintaining visual intactness demonstrates the overall goal of Healthy People 2020 through practicing healthy behavior in regards to controlling his diabetes and improved long-term quality of life.
Rationale 3: An IV drug user still using a drug does not demonstrate healthy behavior, nor improved quality of life or elimination of health inequities.
Rationale 4: Obesity levels in the school-aged population do not demonstrate healthy behavior across the life span.
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A nurse is assessing a client's body temperature. For which of the following clients could the nurse obtain an accurate body temperature at the oral site?
A) A client who is very young B) A client after an oral surgery C) A client who is confused and talkative D) A client with a nasogastric tube in situ
A patient is scheduled to receive a liver for transplantation from a person who has died. The nurse realizes that the type of cadaver donor for the liver would be one who
1. died of cardiac death. 2. died in an automobile accident. 3. died of natural causes. 4. died of brain death.
The nurse has completed medication education with a post–myocardial infarction (MI) patient about nifedipine (Adalat). The nurse evaluates the education as effective when the patient makes which statement?
1. "I only need to take this medicine if I plan to do a strenuous activity." 2. "I will need to take this medicine until my stress test is normal." 3. "I only need to take this medicine when I experience chest pain." 4. "I will need to take this medicine for the rest of my life."
The nurse completes medication education with a patient who receives propranolol (Inderal). The nurse evaluates the education as effective when the patient makes which statement?
1. "I must take my pulse every day and call my doctor if it is higher than 100." 2. "I must call my doctor if my anxiety increases and I start worrying again." 3. "I must take my pulse every day and call my doctor if it is less than 60." 4. "I must call my doctor if I lose more than three pounds a week."