The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention best addresses a short-term goal the patient could achieve?
a. Sleeping on two to three pillows at night
b. Limiting the diet to 1500 calories a day
c. Running 30 minutes every morning
d. Stopping smoking immediately
ANS: A
To achieve a short-term goal, the nurse should plan a lifestyle change that the patient can make immediately that will have a quick effect. Sleeping on several pillows at night will immediately relieve orthopnea and open the patient's airway, thereby reducing fatigue. Running 30 minutes a day will improve cardiopulmonary health, but a patient needs to build up exercise tolerance. Smoking cessation is another process that many people have difficulty doing immediately. A more realistic short-term goal would be to gradually reduce the number of cigarettes smoked. Limiting caloric intake can help a patient lose weight, but this is a gradual process and is not reasonable for a short-term goal.
You might also like to view...
Which statements by a terminally ill patient provide information to the nurse relevant to spiritual assessment? Select all that apply
a. "I feel an inner peace with my decision to use hospice services.". b. "I prepared advance directives to spare my children the need to make difficult decisions.". c. "Listening to hymns helps deepen my relaxation and the relief I get from my pain medication.". d. "I plan to use these last weeks to experience the process of dying as fully as I experienced the richness of living.". e. "I can trust the health care provider to prescribe enough medication to keep me comfortable in the days to come.".
Nursing documents are owned by:
a. the hospital or institution. b. the individual, as it is their information. c. the nurses, as they are the ones who wrote it. d. none of the above.
A homeless family brought their father to the public health clinic after he reported bleeding when he went to the bathroom. Which of the following nursing actions would be most appropriate?
a. Begin tests to determine the cause of the bleeding while asking about other family concerns from nutrition to shelter for the night. b. Refer the man to a urologist to address the urinary bleeding. c. Suggest that the family take him to an urgent care center immediately. d. Treat the urinary infection and give the man medication to take to prevent the return of infection.
The worst human-caused disaster in American history was
a. Iowa flood of 1993 b. Hurricane George of 1998 c. Terrorist attack of September 11, 2001 d. San Francisco earthquake of 1906