The nurse educates and advises a patient to follow the National Cholesterol Education Program (NCEP) Therapeutic Lifestyle Changes (TLC) diet. Which instruction does the nurse give to the patient?
a. Review the literature and see what aspects of the program fit into the patient's current lifestyle.
b. Return for serum cholesterol levels at 6 and 12 weeks after starting the diet.
c. Record dietary intake and weight for 12 weeks and then call the physician.
d. Weigh self once a week for 6 weeks and consult the physician if not losing weight.
Answer: b. Return for serum cholesterol levels at 6 and 12 weeks after starting the diet.
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A nurse is caring for a client who is having a subclavian central venous catheter inserted. The client begins to report chest pain and difficulty breathing. After administering oxygen, which action should the nurse take next?
a. Administer a sublingual nitroglycerin tablet. b. Prepare to assist with chest tube insertion. c. Place a sterile dressing over the IV site. d. Re-position the client into the Trendelenburg position.
The nurse is caring for a patient with schizophrenia who is experiencing auditory hallucinations. The patient tells the nurse, "The voices in my head are telling me to do things that I don't want to do."
When planning care for this patient, what is the priority nursing diagnosis that the nurse will formulate? 1. Risk for violence caused by schizophrenia, manifested by command hallucinations. 2. Risk for violence due to auditory hallucinations, as evidenced by command hallucinations. 3. Disturbed thought processes due to schizophrenia, as evidenced by command hallucinations. 4. Disturbed thought processes due to auditory hallucinations, manifested by command hallucinations.
The nurse works with 68-year-old client who is having great difficulty managing his blood glucose level. The nurse finds that the client is not following the diet that he had agreed to follow and is eating portions that are far too large
He apologizes and explains that he is grieving the loss of his wife, who died 2 weeks ago. The nurse shares condolences with him on his loss and explain that it is perfectly understandable to have trouble following a new diet while grieving. In this scenario, the nurse is using which principal approach in motivational interviewing? A) Expressing empathy B) Supporting self-efficacy C) Rolling with resistance D) Finding a discrepancy
A nurse notes that the PR interval on a client's ECG tracing is 0.14 seconds. What action should the nurse take?
A. Call the health care provider immediately. B. Administer epinephrine immediately. C. Apply oxygen via nasal cannula. D. Document the finding as the only action.