Select the recommendation given by a nurse to a group of clients at a cancer prevention seminar that is most effective in reducing the risk for colon cancer in persons who have a family history of the illness
a. Avoiding obesity and losing weight re-duces the incidence of colon cancer.
b. Limit or stop smoking because it places a person at a high risk for colon cancer.
c. There is a direct link between using sac-charin-containing products and colon cancer, so avoid using the sweetener.
d. Limit alcohol intake to one glass of wine per day.
A
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The wife of a client who has delusions of infidelity asks the nurse if any circumstances exist under
which the treatment team is justified in violating the client's right to confidentiality. The nurse must reply that confidentiality may be violated a. under no circumstances. b. at the discretion of the psychiatrist. c. when questions are asked by law enforcement. d. if the client threatens the life of another person.
The nurse assesses a client for surgery. Which information does the nurse report to the surgeon before surgery?
1. Client complains of a pounding headache. 2. Client has a bruise on the left anterior chest. 3. Vital signs include an oxygen saturation at 88%. 4. Blood pressure is 20 mm Hg higher than baseline.
A nurse caring for a confused patient who is not allowed to get out of bed asks the physician for an order for restraints. Which of the following are guidelines for the use of restraints on patients? Select all that apply
A) Restraints may be used to prevent a patient from falling when the facility is short-staffed. B) The patient's family must be involved in the decision and plan of care. C) Alternatives to restraints and less restrictive interventions must have been implemented and failed. D) The benefit gained from using a restraint must outweigh the known risks for that patient. E) A physician or licensed independent practitioner must reevaluate and assess the patient every 48 hours. F) The patient's vital signs must be assessed and the medical patient must be visually observed every 4 hours.
Which action should the nurse take with the prescribed dose of orlistat (Alli) for the client that has ordered dry toast for breakfast?
A. Reduce the dose by half B. Hold the pre-breakfast dose C. Double the pre-breakfast dose D. Give the normal dose