A middle-aged male client presents to the primary care clinic with complaints of increasing fatigue. He denies any recent acute or chronic medical problems. He works as a computer programmer and spends hours each day sitting
In the evening he is too tired to exercise, and has gained an average of 10 pounds a year for the past five years. His BMI is > 30. The best question for you to ask is: 1. Do you think that being obese contributes to your fatigue?
2. Have you noticed that you are more tired now that you have gained an extra 50 pounds?
3. How do you feel about your current weight status?
4. Do you have other family members who are obese?
3
Rationale: Making statements about a client's size or weight may cause them to react defensively or feel stigmatized. Most clients are aware that they are overweight so restating an obvious
fact is not necessary. Asking how the client feels about his weight allows him to share his perceptions of his weight and provides direction about what intervention might be most helpful. Although a family history of obesity could be a factor related to the client's eating disorder, it should not be the first question that is examined.
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A nurse is educating an older adult with diabetes mellitus on minimizing the risk of cardiovascu-lar disease. The nurse focuses on lipid levels. Which of the following are the recommended goals for lipid levels? (Select all that apply.)
a. Cholesterol <200 b. Low-density lipoprotein (LDL) >100 c. High-density lipoprotein (HDL) >40 (men), >50 (women) d. Hb A1C value of ?6.5% e. Triglycerides <150
The nurse assesses a client who has myasthenia gravis. Which clinical manifestation does the nurse expect to observe in this client?
a. Inability to perform the six cardinal posi-tions of gaze b. Lateralization to the affected side during the Weber test c. Absent deep tendon reflexes d. Impaired stereognosis
You are counseling a couple about sexually transmitted diseases. The male partner has genital herpes. To prevent spread of the infection to the female partner, you advise the couple that
A) a condom should be used during intercourse. B) coitus should be delayed until 10 days after penicillin is begun. C) acyclovir should be applied topically prior to intercourse. D) intercourse should be avoided until a Pap test is negative.
When getting a patient from the bed into the chair for the first time since having an ORIF of a hip fracture, the nurse should
a. use a mechanical lift to transfer the patient from the bed to the chair. b. assist the patient to use a walker with partial weight bearing to assist in transfer to the chair. c. have the patient use crutches with a swing-through gait to transfer. d. ask a nursing assistant to help the patient to stand at the bedside and pivot to the chair.