The nurse is reinforcing discharge instructions to a patient who has a mitral valve prolapse. Which of the following should be included?
a. "You may have a possible need for prophylactic antibiotics."
b. "Begin a home aerobic exercise program."
c. "Cough and deep breathe hourly when awake."
d. "Perform hourly leg exercises if lying down."
ANS: A
Prophylactic antibiotic therapy helps prevent rheumatic fever and subsequent rheumatic heart disease and endocarditis. B, C, and D are not related specifically to valvular disease.
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Why are estrogen agonist/antagonists preferred as preventive therapy for osteoporosis instead of pure estrogen agonists?
a. Pure estrogen agonists promote cell growth in the breast and uterus as well as in the bones. b. Pure estrogen agonists are less effective at balancing osteoclastic and osteoblastic activity. c. Estrogen agonists/antagonists can be used in both premenopausal women and in women after menopause. d. Estrogen agonists/antagonists act as estrogen agonists in breast and uterine tissues and act as estrogen antagonists in bones.
The nurse is working with a client who needs to lower his sodium intake, but he doesn't like to cook so he eats out a lot. He has been trying to order wisely; however, the nurse notes he should change which of the following habits?
A) Requesting no added salt C) Choosing fresh fruit for dessert B) Choosing grilled versus fried D) Enjoying soup for an appetizer
During the admission of a new person to the nursing center, you are asked to obtain her height and weight. The person is unable to stand. How will you measure and weigh this person?
What will be an ideal response?
The nurse is counseling the parents of a 9-year-old boy who is receiving morphine for postoperative pain. Which statement from the nurse accurately reflects the pain experience in children?
A) 'You can expect that your child will tell you when he is experiencing pain.' B) 'Your child will learn to adapt to the pain he is experiencing.' C) 'Your child will experience more adverse effects to narcotics than adults.' D) 'It is very rare that children become addicted to narcotics.'