The nurse is teaching a client about self-care after menopause. Which teaching topic is the priority?
a. Weight-bearing exercise
b. Skin care
c. Intimacy needs
d. Body image changes
A
After menopause, the ovaries produce less estrogen. This leads to decreased bone mass. The client should engage in regular weight-bearing exercise to prevent fractures. The other topics are appropriate but do not take priority over safety needs.
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The nurse manager is counseling a staff nurse who demonstrated reckless behavior. What should the manager say when meeting with this nurse?
1. "I have a handout that can help you." 2. "I realize that the design of the patient rooms contributed to the error." 3. "What outcomes do you think can occur if this happens again in the future?" 4. "This is the second time this has occurred and I think a few days off might be needed."
The nurse, preparing a client to receive parenteral nutrition, realizes that:
a. parenteral nutrition consists of carbohydrates and fat, but not protein. b. clients with known egg allergy should not receive TPN with lipid emulsions. c. clients on peripheral nutrition should be gaining at least 2 pounds per week. d. the tubing should be changed weekly.
Which is the most dangerous effect on the fetus of a client who smokes cigarettes while pregnant?
a. Intrauterine growth restriction b. Genetic changes and anomalies c. Extensive central nervous system damage d. Fetal addiction to the substance inhaled
A client is receiving morphine sulfate intravenously (IV) every 4 hours as needed for the relief of pain related to a surgical procedure the client had 3 days previously. The physician is discontinuing the IV and will be starting the patient on oral pain medication. What would provide the client with optimal pain relief when discontinuing the IV dose?
a) The client should be ordered the medication to be administered intramuscularly (IM) instead of by mouth. b) Administer a higher dose of the medication by mouth. c) Administer a lower dose so the client does not get addicted to the medication. d) Administer an equianalgesic dose.