The nurse is caring for a 35-year-old client at risk for cardiovascular disease. The client states he is aware that he must "maintain a low-fat diet
" Using the Transtheoretical Model and Stage of Change, the nurse assesses that this client is at the stage of a. action.
b. contemplation.
c. maintenance.
d. pre-contemplation.
B
The contemplation phase describes the client as seriously thinking about a change. In the action phase, the client is implementing the behavior change; in the maintenance phase the client con-tinues to move forward with the change, and in the pre-contemplation phase the client has not yet thought about changing his behavior.
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A client in an acute medicine unit of a hospital with a diagnosis of small bowel obstruction is complaining of intense, diffuse pain in her abdomen. Which of the following physiological phenomena is most likely contributing to her complaint?
A) Nociceptive afferents are conducting the sensation of pain along the cranial and spinal nerve pathways of the ANS. B) First-order neurons are inappropriately signaling pain to the dorsal root ganglion. C) The client is experiencing neuropathic pain. D) The client's C fibers are conducting pain in the absence of damaged A? fibers.
A client has been vomiting frequently for several days. The nurse realizes that the acid-base disturbance the client is most likely to experience because of the vomiting would be:
1. respiratory acidosis. 3. metabolic acidosis. 2. respiratory alkalosis. 4. metabolic alkalosis.
]While caring for a hypertensive client, the client's blood pressure becomes 180/122. After reporting this to the health care provider, the nurse prepares to administer:
a. metoprolol tartrate c. diazoxide b. captopril d. prazosin
The nurse assesses the traction boot for a proper fit. Which does the nurse observe with a properly fitting traction boot used with Buck's traction? The client's:
1. Heel rests firmly on boot's inner heel padding 2. Leg slips out of the boot after applying weight 3. Pain level increases from 4 to 7 on a scale of 10 4. Traction boot fits snugly without pressure points