A nurse is discussing the plan of care with a client who has anorexia nervosa. The client's weight is 15% below ideal. The nurse and client agree on many issues and are now discussing the client's activity level
The client would like to run 5 miles per day as she normally does. Which of the following responses by the nurse is best?
A) "That's fine as long as you adhere to your eating program and do not use laxatives or purging."
B) "No, exercise is not allowed until your weight is closer to normal."
C) "Aerobic exercise is not the best choice now. Have you ever tried weightlifting?"
D) "Five miles per day is too much. How about 3 miles per day?"
Ans: C
Feedback:
Rigorous aerobic exercise generally is contraindicated when weight gain is a goal. Allowing the client to engage in moderate resistance training (eg, weight lifting), however, would increase lean body mass as the client gains weight and minimize the gain in "fat weight," which is a great fear of the client.
You might also like to view...
The nurse asks a patient with schizophrenia if he had any visitors on Sunday. Which response indicates loose association?
a. "No." b. "Yes! I had 90 visitors who came from every state in the union." c. "Sunday is the Sabbath. Do we have visitors on the Sabbath?" d. "We visited Yellowstone Park last summer."
Interventions to help caregivers cope with their anger focus on
1. learning to effectively interact with clients. 2. assessing which stressors and coping skills are being used. 3. learning to effectively control their feelings of anger. 4. establishing a trusting therapeutic relationship via clear communications.
A client in labor is concerned about needing a cesarean section and being asleep during the birth of her baby. Which nursing response is most appropriate?
1. "Your anesthesia provider will require that you go to sleep for surgery." 2. "If a cesarean section is needed, that does not necessarily mean you will need to go to sleep for surgery." 3. "We will do our best to make sure you deliver vaginally, so you do not need to have a cesarean section." 4. "If you need a cesarean section, the anesthesia provider will awaken you as soon as possible after delivery so that you can see your baby quickly."
The nurse's initial action when caring for an infant with a slightly decreased temperature is to:
a. Notify the physician immediately. b. Place a cap on the infant's head and have the mother perform kangaroo care. c. Tell the mother that the infant must be kept in the nursery and observed for the next 4 hours. d. Change the formula because this is a sign of formula intolerance.