The nurse is providing teaching to a patient with acute hepatitis about to be discharged to her home. Which activity guideline is most appropriate?
A) Ambulate for increasing distances at least 3 times per day.
B) Maintain bed rest except for trips to the bathroom.
C) Perform active range-of-motion exercises 3 times per day.
D) Perform mild housework as tolerated.
Ans: B
Feedback: There's no specific therapy for viral hepatitis. Treatment is usually supportive and can be managed at home in many cases. During the acute phase of viral hepatitis, complete bed rest (with bathroom privileges) is necessary. This will reduce the metabolic demands on the liver, thereby increasing hepatic blood flow and promoting regeneration of liver cells. The other activities are too strenuous during the acute phase of hepatitis.
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Emergency personnel reported a blood glucose of 32 mg/dL on scene. When providing discharge teaching for this patient and family, the nurse instructs on the need to do which of the following? (Select all that apply.) a. Administer glucagon 1 mg intramuscularly any time the blood glucose is less than 70 mg/dL. b. Administer 15 grams of carbohydrate orally for severe episodes of hypoglycemia. c. Discontinue the insulin pump by removing the infusion set catheter. d. Increase home blood glucose monitoring and report patterns of hypoglycemia to the provider. e. Perform blood glucose monitoring before exercising and driving.
How do nurses facilitate the achievement of high-level wellness with a patient?
A) Encouraging the patient to keep appointments B) Providing information on alternative treatments C) Promoting health D) Providing good patient care
When assessing a woman who has just given birth, the nurse notes that the woman's fundus is firm and has risen in her abdomen. A gush of dark red blood comes from her vagina. The nurse concludes that:
a. A cervical tear occurred during birth. b. The placenta has separated. c. The woman is beginning to hemorrhage. d. Clots have formed in the uterine fundus.
To reassure and educate pregnant clients about changes in the uterus, nurses should be aware that:
a. Lightening occurs near the end of the second trimester as the uterus rises into a different position. b. The woman's increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening. c. Braxton Hicks contractions become more painful in the third trimester, particularly if the woman tries to exercise. d. The uterine souffle is the movement of the fetus.