A pregnant client is diagnosed with a cardiac problem. What should the nurse prepare to instruct this client to do, to ensure a safe pregnancy? Select all that apply
1. Restrict activities.
2. Follow a diet high in iron and protein.
3. Restrict the intake of sodium.
4. Obtain 8 to 10 hours of sleep.
5. Obtain pneumococcal vaccination.
1, 2, 3, 4
Explanation:
1. To help preserve her cardiac reserves, the woman may need to restrict her activities.
2. For the pregnant client with cardiac problems, the client should be instructed in the importance of a diet high in iron and protein.
3. For the pregnant client with cardiac problems, the client should be instructed in the importance of a diet low in sodium.
4. For the pregnant client with cardiac problems, 8 to 10 hours of sleep are essential.
5. Because upper respiratory infections may tax the heart and lead to decompensation, the woman must avoid contact with sources of infection. A pneumococcal vaccination is not indicated.
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The nurse is planning care for a client with history of rheumatic carditis. Which nursing intervention would be most helpful in preventing further complications?
A) Assess temperature, pulse, respirations, and blood pressure every 4 hours. B) Use clean technique or sterile technique, when applicable, for any invasive procedure. C) Instruct on adequate rest, at least 8 hours, per day. D) Encourage a diet of lean meat and fish in a weekly meal plan.
In caring for a patient who is immobile, it is important for the nurse to understand that
a. The effects of immobility are the same for everyone. b. Immobility helps maintain sleep-wake patterns. c. Changes in role and self-concept may lead to depression. d. Immobile patients are often eager to help in their own care.
Which insurance plan was the first to allow members to choose nurse practitioners as their primary care provider and pay them the same rate as physicians for the same care?
a. Blue Cross/Blue Shield b. Medicare/Medicaid c. The Oxford Health Plan d. United Health Insurance