Which of the following patients would you expect to be at risk for decreased activity? Select all that apply
a. Older adult who walks at the mall for physical activity
b. Someone living in a skilled nursing facility
c. Healthy adult who works as a computer programmer
d. Obese child who enjoys video games
B, C, D
The person who lives in a skilled nursing facility might be sedentary because of advancing age and other age-associated medical problems that lead to inactivity. With obesity, movement becomes more difficult and strain on joints increases. A sedentary lifestyle, whether adult or child, contributes to obesity; activities, such as computer work and video games, are sedentary and require little physical activity. Physical activity doesn't have to be a structured fitness class but can also be walking, even walking in a mall or neighborhood, as long as the intensity is moderately vigorous.
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A patient tells the nurse that she doesn't wash her hands very much because the skin on her hands is dry and cracked. What instruction should the nurse give this patient?
1. Wash the hands without soap. 2. Wash the hands with hot water. 3. Wash the hands with cold water. 4. Use a hand lotion with high fat or oil content to protect the skin.
Visiting nurses associations (VNAs) were developed by wealthy women who wanted to assist the poor by supporting home care. Who gives the most home care today?
A. Hospital-based home care agencies B. Local and county health departments C. Privately owned, but nonprofit, entrepreneurial home care agencies D. Proprietary for-profit incorporated home health agencies
For the postoperative client, which of the following nursing diagnoses will require outcome identification that could contribute to a maladaptive postoperative recovery?
A) Pain B) Ineffective breathing patterns C) Alteration in bowel elimination D) Anxiety