The nurse is conducting a risk appraisal related to the patient's lifestyle choices. What questions would be appropriate for the nurse to ask? Select all that apply
a. "What is your job?"
b. "What is your marital status?"
c. "What are your hobbies?"
d. "Are you sexually active?"
e. "Have you moved recently?"
A, B, C, D
A person's occupation is a significant component of his lifestyle, so this would be an important question to ask. Marital status plays an important role in lifestyle, so this is an appropriate question to ask. Hobbies should be assessed to determine specific lifestyle risks for this patient. Even married people should be asked about sexual activity, because sexual activity can have a significant impact on health and risk for health problems. A question about a recent move would not be a question asked regarding lifestyle, but might be a question asked when assessing stress levels. Questions about the type of dwelling might also indicate activity levels.
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The nurse is instructing an older client on the use of MyPlate to ensure an adequate nutritional intake. Which meal choices require further teaching? Select all that apply.
1. A salad with chicken, walnuts, and an olive-oil-based dressing 2. Cottage cheese with a large bowl of canned peaches 3. Toast with fruit jam and a bowl of oatmeal 4. Sausage and vegetable omelet with raisins in oatmeal 5. Plain cheeseburger with french fries
A patient who has been sexually abused continues to describe the situation as if it happened to a friend instead. This patient is presenting the defense mechanism of
1. Repression. 2. Dissociation. 3. Rationalization. 4. Regression.
The nurse provides intravenous dexamethasone (Decadron) 10 mg to a patient with a metastatic brain tumor
What patient outcomes would indicate that the medication is effective? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Neurologic symptoms improve within 12 hours 2. Reduced intracranial pressure 3. Neurologic symptoms improve immediately 4. Reduced respiratory rate 5. Increased heart rate and blood pressure
A dying 8-year-old child tells the nurse that she is still in pain even though the nurse has administered the maximum dosage of pain medication only 1 hour ago. The nurse's most effective initial intervention would be to:
a. Tell the child she will have to wait 3 hours b. Assess the child to determine if the pain is real c. Inquire if the medication dosage can be adjusted d. Distract the child by reading a story