For a client with diverticula of the esophagus, the nurse would tell the client to avoid
a. deep-breathing exercises after meals.
b. ingestion of carbonated drinks.
c. sleeping with the head of the bed elevated.
d. vigorous exercise after eating.
D
To prevent reflux of food, the client should have the head of the bed raised for 2 hours after meals. Nocturnal reflux can often be prevented by sleeping with the head of the bed elevated. The client should avoid constrictive clothes and vigorous exercise after eating.
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Transfer from a long-term care facility is being considered for a combative resident.OBRA Resident Rights that impact this decision include
a. a legitimate and documented reason for the transfer. b. addressing the problem behavior in the care plan. c. the family preventing the discharge through litigation. d. the resident has the right to delay the transfer for 20 days.
The nurse realizes that the medication tiotropium bromide (Spiriva) is contraindicated for a patient with chronic obstructive pulmonary disease (COPD). What information in the patient's medical history led to this clinical decision?
Select all that apply. 1. The patient is being treated for glaucoma. 2. The patient uses a topical steroid for psoriasis. 3. The patient attends physical therapy three times a week. 4. The patient is taking medication for prostatic hypertrophy. 5. The patient limits the intake of dietary fats for weight loss.
A combat veteran with TBI, depression, and anxiety begins new prescriptions for sertraline (Zoloft) and lorazepam (Ativan). In recognition of potential long-term repercussions, the nurse should provide teaching related to which topic?
a. Nonpharmacologic strategies for managing anxiety b. Identifying signs and symptoms of hepatotoxicity c. Recognizing evidence of tardive dyskinesia d. Strategies for preventing obesity
The nurse should teach parents of a child with cystic fibrosis to adjust enzyme dosage according to which indicator?
a. Stool formation b. Vomiting c. Weight d. Urine output