The pregnant client is in her 21st week of pregnancy, and is planning a vacation with her family. She asks the nurse which method of travel would be recommended for her to use. How should the nurse respond? "The safest method of travel is to:
1. "Take an automobile.
2. "Fly on an airplane.
3. "Travel by train.
4. "Not travel this late in pregnancy.
3
Rationale:
1. Automobile travel does not allow for frequent enough movement.
2. Airplane travel does not allow for frequent enough movement.
3. In the latter half of pregnancy, frequent movement is recommended for pregnant women, both to increase comfort and to decrease venous pooling, which can lead to thrombophlebitis. The train allows the most movement for the traveling pregnant woman.
4. It is not necessary to cease travel altogether.
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The nurse provides teaching to a client with hypertension who is overweight. What should the nurse emphasize during this teaching?
a. Weight loss, exercise, and smoking cessation b. Blood sugar monitoring, exercise, and weight loss c. Alcohol abuse counseling, exercise, and PSA testing d. Reduction of alcohol consumption, exercise, and dietary fiber
The following interventions are ordered by the health care provider for a patient who has respiratory distress and syncope after eating strawberries. Which will the nurse complete first?
a. Start a normal saline infusion. b. Give epinephrine (Adrenalin). c. Start continuous ECG monitoring. d. Give diphenhydramine (Benadryl).
Fineout-Overholt and Johnston recommended a 5-component scheme for formulating evidence-based practice questions, using the acronym PICOT as a guide. Which two components are not always needed in this model?
A) P and C B) I and O C) C and T D) P and O
What is a benefit of adding dietary supplements to an older adult's treatment plan?
1. Increased effectiveness of prescribed drugs 2. An inexpensive alternative to traditional medicines 3. Possible prevention of nutritional deficits 4. Prevention of Alzheimer disease