When working with a client who is attempting to lose weight, which of the following suggestions by the nurse might assist the client in being compliant with the prescribed diet?

1. Eat alone to reduce outside distractions.
2. Drink water or a diet beverage after eating to promote feelings of fullness.
3. Allow at least 45 minutes to 1 hour to promote full enjoyment of a meal.
4. Set aside small nonfood rewards when you meet a goal.


4. Set aside small nonfood rewards when you meet a goal.

Rationale:
When dieting, a small nonfood reward can serve as an incentive for working toward a goal. Eating is a social activity. Talking with others during mealtime promotes involvement. Drinking a beverage before eating promotes feelings of fullness and reduces intake at mealtime. A meal should be slated to last only 20 minutes. Eating longer can promote eating more.

Nursing

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A client with a diagnosis of atrophic gastritis and consequent pernicious anemia is receiving high oral doses of vitamin B12. Which of the following changes would be most likely expected by his care provider at the completion of his treatment?

A) Decreased mean corpuscular volume B) Increased serum bilirubin C) Increased folic acid levels D) Decreased free heme levels

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A nurse understands that lorazepam (Ativan) is the drug of choice for treating status epilepticus but that its effects last for less than 1 hour

The nurse would expect which of the following to be prescribed along with lorazepam (Ativan) during status epilepticus? Select all that apply. A) Ethosuximide (Zarontin) B) Phenytoin (Dilantin) C) Ethotoin (Peganone) D) Zonisamide (Zonegran)

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Your patient has asymmetrical corneal light reflexes, indicating an extraocular muscle imbalance resulting in an inward turning of the patient's right eye. This finding indicates that the patient has which condition?

a. multiple sclerosis c. neuropathy b. myopia d. strabismus

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Which of the following statements about therapeutic massage is TRUE?

a. A back rub administered by a nurse in the hospital is not considered to be therapeutic massage. b. Localized massage should be considered for clients with varicose veins, phlebitis, or thrombus. c. Many states do not have licensing require-ments for massage practitioners. d. Massage should be used with caution in clients with certain illnesses and disease processes in which increased circulation may be harmful.

Nursing