The postpartum patient expresses concern about getting back to her prepregnant shape, and asks the nurse when she will be able to run again. Which statement by the patient indicates that teaching was effective?
1. "I can start running in 2 weeks, and can breastfeed as soon as I am done."
2. "I should see how my energy level is at home, and increase my activity slowly."
3. "Running is not recommended for breastfeeding women."
4. "If I am getting 8 hours of sleep per day, I can start running."
2
Rationale 1: Running might be feasible at 2 weeks, but it is better to tell a patient how to gauge what her activity level should be. Breastfeeding should take place just prior to running, to minimize chest discomfort.
Rationale 2: This response suggests increasing activity when there is a sense of returning energy, which personalizes the response to the individual patient's needs. Increasing activity slowly is safer and less likely to cause injury than is starting off by running long distances.
Rationale 3: This statement is not true. It is more comfortable to nurse prior to running, but running is not contraindicated.
Rationale 4: This response does not address a more important factor, which is encouraging the patient to assess her own energy level and to gradually return to previous activity levels.
You might also like to view...
A client who has been hospitalized for an infection states, "The nursing assistant told me my vital signs are all within normal limits; that means I'm cured." The nurse's best response would be which of the following?
a. "Your vital signs confirm that your infection is resolved; how do you feel?" b. "I'll let your healthcare provider know so you can be discharged." c. "Your vital signs are stable, but there are other things to assess." d. "We still need to keep monitoring your temperature for a while."
In which muscle should the nurse select to give a 6-month-old infant an intramuscular injection?
a. Deltoid b. Ventrogluteal c. Dorsogluteal d. Vastus lateralis
The nurse is assisting a client to ambulate several hours after his surgery. The client coughs and says to the nurse, "I feel like something ripped in my incision
" A large amount of blood is sud-denly apparent on the client's gown near the incision. What action does the nurse take first? a. Ease the client to the floor and call for as-sistance. b. Put immediate pressure over the incision with the hands. c. Call the Rapid Response Team to assess the client. d. Lift up the gown and take off the dressing.
The nurse is caring for a client with chronic pancreatitis. Which instruction by the nurse is most appropriate?
a. "You will need to limit your protein in-take." b. "We need to call the dietitian to get help in planning your diet." c. "You cannot eat concentrated sweets any longer." d. "Try to eat less red meat and more chicken and fish."