The nurse is developing an exercise plan for someone diagnosed with congestive heart failure and exercise intolerance. In doing so, the nurse should
a. Plan for 20 minutes of continuous aerobic activity and increase as tolerated.
b. Perform 6-minute walks at the patient's pace at least 2 times a day.
c. Instruct the patient that he should not take his beta blocker medication on exercise days.
d. Encourage a high-calorie diet to plan for extra calorie expenditure.
B
For the diagnosis of exercise intolerance, the patient should begin by performing 6-minute walks at his own pace at least twice a day. The patient would not be able to tolerate 20 minutes of continuous aerobic activity. Patients should be instructed to take medications as ordered. Low-calorie, low-sodium, and high-protein diets are best for this type of patient.
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An elderly client told the nurse she had been smoking for 70 years and did not have lung cancer. The nurse explained that other uncontrollable factors need to be taken into account, such as:
1. the type of cigarettes smoked. 2. genetic predisposition. 3. history of alcohol abuse. 4. type of diet.
A client receiving hemodialysis treatments wants to take a multivitamin supplement several times a day. Which direction should the nurse provide to this client?
a. "All water-soluble vitamins are removed by dialysis." b. "The most common vitamin deficiency is B12, so take that." c. "Vitamins are not toxic and extra amounts will not cause harm." d. "Avoid vitamins that are fat soluble because they are not removed by dialysis."
Which of the following is considered subjective data in information gathering from the patient?
a. Pulse and blood pressure measurements b. ECG pattern c. Diaphoresis d. Pain
An undergraduate nursing dean is expecting a site visit from the school's accrediting agency
To ensure that the school meets the agency's objectives for accreditation, it would be most important that the dean would assess whether course work provided opportunities for students in a. different types of health care organizations and levels of care. b. mastering basic science concepts as they apply to nursing care. c. providing charitable care through nurse-run clinics and offices. d. working with community-based clients and regional health needs.