Which of the following client statements, made by a young adult regarding health promotion habits, reflects a need for further client education by the nurse?
1. "I go to the gym and work out 3 times a week with friends."
2. "My dad has high cholesterol, so I have mine checked yearly."
3. "Diabetes runs in my family, so I watch my carbohydrate intake."
4. "I drink alcohol only on weekends, when it doesn't interfere with work."
ANS: 4
The correct answer reflects a poor understanding of alcohol abuse. The primary criterion for healthy alcohol consumption is not drinking only when it will not affect work. Further education regarding responsible alcohol consumption and alcoholism is appropriate. The other options re-flect a good understanding of health promotion habits.
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Which of the following actions must a nurse take to be successful in addition to the typical assessment, diagnosing, and planning directly related to the intervention project?
a. Advocate for community empowerment throughout the process. b. Choose superb people to implement the plan. c. Confirm administrative support throughout the project. d. Continue to assess both barriers and resources throughout the project.
A nurse is providing care for a client with Guillain-Barré syndrome. The nurse reviews the results of the arterial blood gases and determines the client is experiencing respiratory acidosis
The nurse would expect to find which of the following on the laboratory results? a. pH 7.40, pCO2 56 mmHg c. pH 7.25, pCO2 58 mmHg b. pH 7.35, pCO2 42 mmHg d. pH 7.50, pCO2 28 mmHg
When assessing the understanding of the client with COPD in using oxygen at home, which comment would indicate the need for further instruction?
a. "For severe shortness of breath, I can increase my oxygen to five liters." b. "I should avoid open flames while using oxygen." c. "I should avoid the use of hair dryers while using oxygen." d. "I should avoid the use of electric toothbrushes while using oxygen."
The nurse is preparing to give a medication by IV bolus. When assessing the patient's IV insertion site, the nurse notes that it is warm, reddened, and tender. What action should the nurse take first?
a. Slow the infusion rate and slowly inject the medication. b. Discontinue the IV infusion. c. Inject a local anesthetic to relieve the tenderness. d. Apply warm compresses over the insertion site.