When A.H. is being prepared for discharge, you talk to him about health promotion and lifestyle change issues that are pertinent to his health problems
Identify four health-related issues you might appropriately address with him and what you would teach in each area.
HTN: Importance of low-sodium diet, proper use of antihypertensive medications, and exercise. With
his history of AAA, he will need to keep his BP under control.
Exercise: Rationale and methods. Exercise is valuable in the treatment of atherosclerosis and
depression, but it is essential that A.H. receive prescriptive exercise guidelines. Exercise carries
great benefit, but it also carries great risk if it is done inappropriately.
Diet and nutritional status: Importance of low-sodium, low-cholesterol, high-fiber diet. Does he have
adequate nutritional intake to promote healing? Obtain a referral to a registered dietitian (RD).
He might also benefit from an at-home meal service, such as Meals-on-Wheels, not only for the
improved nutrition, but also for the social stimulation.
Constipation: Importance of high-fluid, high-fiber intake and exercise.
Psychosocial support needs: Discuss resources available in A.H.'s community for meeting psychosocial
support needs.
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When assessing a patient, the patient complains of an uncomfortable sensation leading to an urge to scratch. The nurse notes the patient scratches frequently. How should the nurse document this finding?
a. Dyspnea b. Cyanosis c. Jaundice d. Pruritus
A nurse is caring for a client who is perimenopausal who states that she has recently had frequent bacterial vaginal infections
Which reason for these infections will the nurse include in the response to the client? A) Decreased vaginal pH B) Increased vaginal pH C) Increased estrogen level D) Decreased vasomotor stability
An 89-year-old male patient is wheelchair bound. He has been living in a nursing home since leaving the hospital. He returns to the local primary care clinic by wheelchair for follow-up hypertension treatment
The nurse would modify his health history to include which question? A) "Tell me about your medications: how they are administered and do you take them on a regular basis?" B) "Tell me about where you live: do you feel your needs are being met, and do you feel safe?" C) "Your wheelchair would seem to limit your ability to move around. How do you deal with that?" D) "What limitations are you dealing with related to your hypertension and being in a wheelchair?"
A patient returns from surgery for removal of a pituitary tumor that has not extended into the intracranial vault
The nurse observes a large amount of clear drainage from the nose. The nurse expects the physician to order a glucose test of the drainage to confirm a. that infection has not occurred. b. that a shift in osmolality has not occurred. c. that the drainage is postoperative serous drainage. d. that the drainage is CSF from a cerebrospinal leak.