A patient's pulse has gone from 78 at rest to 98 after ambulating. What nursing action is indicated at this time?
a. Ask the healthcare provider to order a wheelchair for the patient.
b. Plan an adequate rest period before and after ambulating.
c. Sit the patient on the bed for 15 minutes before ambulating.
d. Increase the amount of range-of-motion exercises done daily.
B
The patient's pulse rate has elevated over 20% of the baseline, which indicates a poor response to the level of activity. Rest needs to be provided immediately before and after the period of ambulation, or the amount of ambulation should be decreased until the patient adjusts to the ac-tivity. The patient would not be ambulating if riding in a wheelchair and would not build up to-lerance to activity. Dangling helps decrease orthostatic hypotension but not activity intolerance. Range-of-motion exercises help with joint movement, not activity tolerance.
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Hildegard Peplau's Theory of Interpersonal Relations focuses on which of the following?
a. The relationship between nurse and doctor b. The mutual caring relationship c. Meeting the needs of nurse and patient d. The relationship between nurse and patient
A client experiences postprandial rapid gastric dumping after a gastrectomy. Which of these approaches should the nurse include in the client's teaching plan?
a. Avoid complex carbohydrates. b. Eat small meals frequently. c. Reduce fiber and protein intake. d. Drink carbonated beverages with meals.
A nurse is discussing cancer prevention with a client during a routine health visit. The client states he enjoys barbeque, and commonly grills burgers and steak almost every night. The nurse recognizes that this practice puts the client at risk for which of the following cancers?
A) Stomach B) Colorectal C) Lung D) Bone