Which instructions should the nurse include when teaching a pregnant client with Class II heart disease?
a. Advise her to gain at least 30 pounds.
b. Instruct her to avoid strenuous activity.
c. Inform her of the need to limit fluid intake.
d. Explain the importance of a diet high in calcium.
ANS: B
Activity may need to be limited so that cardiac demand does not exceed cardiac capacity. Weight gain should be kept at a minimum with heart disease. Iron and folic acid are important to prevent anemia. Fluid intake is necessary to prevent fluid deficits. Fluid intake should not be limited during pregnancy. The client may also be put on a diuretic.
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A patient is scheduled for an ACTH stimulation test as part of endocrine evaluation. What information should the nurse provide as preparation for this test?
1. "At least two blood samples will be drawn.". 2. "Wear comfortable clothing and supportive shoes for this exam.". 3. "You will be asked to swallow some medication during X-ray examination.". 4. "You should not drive for at least 12 hours after this exam.".
What abnormality of the testes does this teenager most likely have?
A 16-year-old high school junior is brought to your clinic by his father. The teenager was taught in his health class at school to do monthly testicular self-examinations. Yesterday when he felt his left testicle it was enlarged and tender. He isn't sure if he has had burning with urination and he says he has never had sexual intercourse. He has had a sore throat, cough, and runny nose for the last 3 days. His past medical history is significant for a tonsillectomy as a small child. His father has high blood pressure and his mother is healthy. On examination you see a teenager in no acute distress. His temperature is 100.8 and his blood pressure and pulse are unremarkable. On visualization of his penis, he is uncircumcised and has no lesions or discharge. His scrotum is red and tense on the left and normal appearing on the right. Palpating his left testicle reveals a mildly sore swollen testicle. The right testicle is unremarkable. An examining finger is put through both inguinal rings, and there are no bulges with bearing down. His prostate examination is unremarkable. Urine analysis is also unremarkable. A) Acute orchitis B) Acute epididymitis C) Torsion of the spermatic cord D) Prostatitis
A patient is confused. What would you anticipate would be a part of the patient's care plan?
a. Give the date and time when the person asks for it. b. Stand from behind the person. c. State your name and show your name tag. d. Provide stimulation by rearranging the person's furniture and belongings.
A patient is admitted to the medical unit following a CVA. There is evidence of left-sided hemiparesis, and the nurse will be following up on range-of-motion (ROM) and other exercises performed in physiotherapy
Which of the following principles of ROM exercises does the nurse correctly teach the patient and family members? a. Flex the joint to the point of discomfort. b. Work from proximal to distal joints. c. Move the joints quickly. d. Provide support to the extremity.