The exercise tolerance of an older adult is impaired after a MI because of a low ejection fraction
Rank the following interventions that the nurse should use to assist this individual to restore baseline functional status in order of importance, beginning with the first intervention. A. Provide a well-balanced diet. B. Assist with range of motion. C. Sit in chair four times daily. D. Keep arterial oxygen saturation (SaO2) above 95%.
D, A, B, C
The nurse first helps the patient maintain myocardial oxygenation by keeping the patient's SaO2 above 95%; if it drops below that level, then the arterial blood lacks sufficient oxygen to meet tissue oxygen demands. Second, the nurse provides a well-balanced diet for tissue building and repair. The patient has little hope of resuming baseline functioning without adequate food for fuel and maintaining muscle bulk. Third, to help maintain muscle bulk and joint flexibility, the nurse helps the patient perform range-of-motion exercises in preparation for more strenuous physical activity. Last, before ambulation, the nurse ensures that the patient is able to sit in the chair four times a day as progress toward restoring baseline functioning.
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The nurse is caring for a war veteran who states, "It should have been me that died. I'll never forgive myself for leaving my buddy when he needed me." The nurse recognizes this statement is most associated with which of the following diagnoses?
a. Obsessive-compulsive disorder b. Generalized anxiety c. Bipolar depression d. Post-traumatic stress disorder (PTSD)
A nurse is caring for a client with seasonal hypersensitivity reactions. What teaching would the nurse provide to improve this client's comfort?
Select all that apply. A) Keep doors and windows open on high-allergen days to circulate air. B) Remain indoors if possible on high-allergen days. C) Maintain a clean, dust-free environment. D) Take antihistamine and leukotriene medication as ordered. E) Stop taking oral corticosteroids immediately once symptoms disappear.
An employee of the National Institute for Mental Health would most likely be involved in the:
a. Expansion of psychiatric units in general hospitals b. Development of education programs for community mental health treatment c. Legislation and advocacy for the rights of people with mental disorders d. Deinstitutionalization of patients
Optimism is a mediating factor in transformational leadership that affects
a. Employee job satisfaction. b. Employee engagement. c. Employee liking of the supervisor. d. Employee self-esteem.