The nurse conducts an assessment of a 38-year-old patient's fitness using the step test. At the end of the test, which heart rate would indicate the patient is in very poor physical condition?
a. 96 beats/min
b. 106 beats/min
c. 114 beats/min
d. 134 beats/min
D
A heart rate of 96 beats/min indicates that the patient is in above average physical condition. A heart rate of 106 beats/min indicates that the patient is in average physical condition. A heart rate of 114 beats/min indicates that the patient is in below average physical condition. A heart rate higher than 130 beats/min indicates the patient is in very poor physical condition.
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In reviewing a patient's chart to determine whether she has progressed from HIV disease to AIDS, the nurse should look for
a. CD4+ count below 500, chronic fatigue, night sweats. b. HIV-positive test result, CD4+ count below 200, history of opportunistic disease. c. weight loss, persistent generalized lymphadenopathy, chronic diarrhea. d. fever, chills, CD4+ count below 200.
A nurse is planning care for a patient who is experiencing a situational crisis. What is the most effective way for the nurse to plan for the patient's crisis intervention?
1. Organized with follow-up 2. Based on complete assessment 3. Focused on long-term problems 4. Developed prior to meeting with the patient
Which of the following is a realistic nursing intervention when taking care of a client with chronic fatigue syndrome?
A) Educate the client about the disease process. B) Advise the client to avoid moderate exertion. C) Instruct the client to reduce the intake of potassium-rich foods. D) Advise the client to avoid being in crowds.
A patient who has a displaced mid-shaft fracture of the left femur and is in balanced suspension skeletal traction with 35 pounds of weights is experiencing calf pain with right foot dorsiflexion. Which action should the nurse take?
a. Notify the RN. b. Check the traction setup. c. Reduce 5 pounds of weight. d. Encourage dorsiflexion more frequently.