The nurse is writing measurable expected outcomes for a client. Which of the following is an example of a measurable expected outcome?
a. Turn, deep breathe, and cough every 2 hours.
b. The client will maintain nutritional status.
c. The client will walk the length of the corridor twice a day by the second day after surgery.
d. The client has gained 3 pounds.
ANS: C
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A client is preparing for gender reassignment surgery and will transition from male to female. The client is worried about the voice not sounding feminine enough. What action by the nurse is best?
a. Ask if the client has considered vocal cord surgery to change the voice. b. Refer the client for vocal therapy with speech-language pathology. c. Teach the client that there will be no effect on the client's voice. d. Tell the client that the use of hormones will eventually change the voice.
The mother of an adolescent diagnosed with an eating disorder believes it must be genetic since the child is adopted and the mother is very weight and exercise conscious. The nurse realizes that:
1. The child must have inherited a genetic predisposition to an eating disorder. 2. The mother is setting a good example with eating and exercise. 3. The mother is obsessed with weight and exercise, and the child learned the behavior. 4. The child must have a neurotransmitter abnormality.
MC The nurse is working in a community health clinic and is planning a secondary prevention program. One such example could be a program
A. That eliminates high-risk behaviors. B. Related to diabetes prevention. C. That encourages blood pressure screening. D. That explains adult immunizations.
Which of the following foods should be encouraged in a postmenopausal woman who is 5 feet, 1 inch tall and weighs 100 lb?
a. Red meat b. Dairy products c. Whole grains d. Fresh fruits