A client with coronary heart disease has been meeting with a cardiac rehabilitation nurse for the past 5 weeks. The nurse has provided the client with interventions to increase the client's activity level

The client states that they don't know if the exercise program is helping. The nurse can assess the effectiveness of the interventions by:
1. Comparing baseline vital signs with current vital signs
2. Weighing the client
3. Asking the client if he feels that he has met his goals
4. Telling the client that the exercise will only help if the client has a positive atti-tude


ANS: 1
To evaluate the effectiveness of nursing interventions to enhance activity and exercise, make comparisons with baseline measures that include blood pressure, pulse, strength, endurance and psychological well-being.

Nursing

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A mother and her newborn are being discharged 2 days after delivery. The general discharge instructions provided by the nurse include: Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Always place the infant in a supine position in the crib. 2. Support the infant's head when carrying for the first week or two. 3. Do not allow the baby to fall asleep in someone's arms. 4. Do not cover the cord stump with a bandage. 5. Use a bulb syringe to suction mucus from the infant's nostrils as necessary.

Nursing

A client receiving a pain prescription for several weeks has required an increase of the dosage to adequately manage symptoms. Which should the nurse recognize has occurred?

A. Immunity B. Tolerance C. Physiologic addiction D. Psychological addiction

Nursing

During the decision-making process, the midwife should:

a. provide the woman with greatest opportunity to obtain evidenced-based information and to seek all options and alternatives in her care. b. give the woman only those choices that she (the midwife) is comfortable with. c. remove herself from the process—it is the woman's responsibility to investigate and make her own decisions d. make the decision for the woman—the midwife is the expert and as such should make the decisions.

Nursing

Which of the following aspects of a developed country would be most worthwhile to be copied by a developing country?

a. Education of health care professions b. Health care reform policies to improve health care delivery c. Advanced technology with its miracle interventions and cures d. Our approach to rationing health care

Nursing