A 60-year-old female client comes to the cardiology clinic. She was referred by her primary care provider because of poorly controlled hypertension and hyperlipidemia
Her vital signs are: weight 182, height 66 inches, blood pressure 168/98, and pulse 78. The nurse practitioner discusses the importance of: 1. The role of weight loss and exercise in blood pressure regulation.
2. A no-fat diet to decrease fat and cholesterol intake.
3. Adhering to a low-protein diet to ensure weight loss.
4. Considering bariatric surgery for weight loss.
1
Rationale: Weight loss and exercise play an important role in blood pressure management. Diets that completely restrict certain food groups do not promote a healthy diet and can result in a lack of essential nutrients. Proteins are an integral component of metabolism and a source of energy. Bariatric surgery is reserved for obese clients who have failed conventional weight loss programs.
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The nurse discussing the Health Insurance Portability and Accountability Act (HIPAA) says, "I am aware that this act changed the way we handle confidential information." What other provisions of this act should the nurse consider?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. An anti-fraud and anti-abuse program 2. Establishment of state governments as health care regulators 3. A law preventing portability of health care coverage 4. Tax incentives for preventive care 5. Streamlining of transfer of patient information between insurers and providers
Two nurses are contrasting the major differences between physostigmine (Antilirium) and neostigmine (Prostigmin). One nurse correctly states that physostigmine (Antilirium)
a. is not as effective for treating poisoning by muscarinic-blocking drugs. b. can readily cross the blood-brain barrier. c. does not cause any side effects. d. cannot reverse the effects of neuromuscular blockers.
Holiday scheduling is always a sensitive issue on the nursing unit, and the manager is trying something different this year
The manager says that whoever works the most extra shifts when asked to do so will get first pick for the holiday schedule. Which type of conflict resolution does this represent? a. Competition resolution b. Win-win resolution c. Sacrifice resolution d. Active resolution
Test Result: High specific gravity (> 1.025)
What will be an ideal response?