The nurse is teaching a client about risk factors for stroke and should include which of the following? (Select all that apply.)
a. does not smoke d. cholesterol level of 198
b. obesity e. blood pressure of 128/80
c. diabetes f. regular exercise
B, C, E
Risk factors for stroke include smoking, obesity, diabetes, cholesterol level of > 200, BP > 120/80, lack of exercise, family history of stroke, and irregular heartbeat.
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During a 4-month-old's well-child checkup, the nurse discusses introduction of solid foods into the infant's diet and concerns for foods commonly associated with food allergies
Therefore, the parents are instructed to delay until after 1 year of age the introduction of: 1. Strawberries, eggs, and wheat. 2. Honey, tomatoes, and spinach. 3. Carrots, beets, and spinach. 4. Squash, pork, and tomatoes.
An adult patient is in ventricular fibrillation; when defibrillating the patient, the nurse must:
A) Maintain good contact between paddles and patient skin. B) Use ultrasound gel as a conducting agent. C) Call "all clear" once before discharging the defibrillator. D) Ensure the defibrillator is in the sync mode.
The nurse is assessing a 76-year-old man in a nursing home with a diagnosis of UTI. The nurse notes that the patient is complaining of right flank pain. To assess for tenderness, the nurse should gently do which of the following?
a. Auscultate the costovertebral angle. b. Palpate the tenth intercostal space. c. Percuss the costovertebral angle. d. Palpate the area above the ischial spine.
A survivor of rape presents in an emergency department crying, pacing, and cursing her attacker. A nurse should recognize these client actions as which behavioral defense?
1. Controlled response pattern 2. Compounded rape reaction 3. Expressed response pattern 4. Silent rape reaction