The 65-year-old overweight, hypertensive male farmer tells the home health nurse that he eats two fried eggs, four pieces of bacon,
and biscuits with cream gravy every morning for breakfast because he believes that a robust breakfast keeps him healthy. The nurse's best approach would be to say:
a. "That sort of food is not on your low-sodium diet."
b. "You won't be healthy long with a diet like that."
c. "One egg and whole wheat toast would be even healthier."
d. "You should eat whole-grain cereal with fruit instead of all that fat and sodium."
ANS: C
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Passive range of motion is not
a. A method of assisting an individual to resume independence of function b. A method of preventing deformities c. A method of preventing increased limitation of activity d. A form of exercise that the patient must do unassisted
The nurse is conducting a head-to-toe assessment of a patient at the beginning of a shift. The nurse has palpated the patient's radial pulse for 1 minute to determine the patient's heart rate and has detected an irregular rhythm
How should the nurse follow-up this assessment finding? A) Continue to palpate the patient's radial pulse for one more minute in order to gauge the severity of the arrhythmia. B) Palpate the patient's right and left radial pulses simultaneously to compare the symmetry of the patient's rate and rhythm. C) Reposition the patient, wait 3 to 5 minutes and then reassess the patient's radial pulse. D) Auscultate the patient's apical pulse while simultaneously palpating the patient's radial pulse.
A client is admitted to a nursing unit in acute alcoholic withdrawal. Which nursing diagnosis is the highest priority early in this admission?
a. Risk for injury related to disorientation and seizure activity b. Disturbed thought processes due to symptoms of withdrawal c. Imbalanced nutrition: less than body requirements due to poor intake d. Acute constipation related to effects of poor nutrition and decreased activity
All of the following conditions may occur as a result of extended exposure to the sun except
A. dermatitis. B. predisposition to cancer. C. premature aging of the skin. D. sunburn.