The nurse is reinforcing discharge instructions to a patient who has a mitral valve prolapse. What information should be included?
a. "Begin a home aerobic exercise program."
b. "Perform hourly leg exercises if lying down."
c. "Deep breathe and cough hourly when awake."
d. "You may have a possible need for prophylactic anticoagulants."
ANS: D
Aspirin or anticoagulants may be ordered to help prevent formation of blood clots on the valve. A. The patient should follow the health care provider's instructions for an exercise program. B. There is no evidence to support the need for the patient to perform leg exercises every hour. C. There is no evidence to support that the patient needs to perform deep breathing and coughing exercises every hour while awake.
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Priorities in the rehabilitation phase of burn management include
a. recuperation and healing physically and emotionally. b. hydrotherapy and splinting. c. reverse wound isolation and surgical grafting. d. bed rest and splinting.
The nurse is instructing families about recognizing signs of dating violence in their teen-aged children.. The nurse concludes that the clients understand teaching regarding safe sexual practices when a parent states:
1. "We noticed our daughter seems very happy lately.". 2. "Our daughter has the odor of smoking about her.". 3. " Our son has a new girlfriend.". 4. "We taught our children about dating violence when they were 6-years-old.".
The nurse assesses the gestational age of a newborn and informs the parents that the newborn is premature. Which of the following assessment findings is not congruent with prematurity?
1. Cry is weak and feeble 2. Clitoris and labia minora are prominent 3. Strong sucking reflex 4. Lanugo is plentiful
Regarding the selection of an appropriate nursing diagnosis, what is the role of the RN?
A) Gathering physical and emotional client related data B) Drawing conclusions based on known client focused information C) Establishing priorities that reflect seriousness of client signs and symptoms D) Delegating care in accordance with client needs and scope of nursing practice