A pregnant woman is being discharged from the hospital after an episode of preterm labor that has resolved. She asks the nurse if she can now return to her low-impact aerobics class. Which response by the nurse is best?
A.
"As long as it's low impact, it should be OK to return."
B.
"Make sure you can talk while you are exercising."
C.
"Preterm labor is a contraindication for aerobic exercise."
D.
"Wait 72 hours; if you don't have more contractions, it's OK."
ANS: C
Premature labor, along with several other conditions, is an absolute contraindication to aerobic exercise during pregnancy. Although being able to talk while exercising is an important safety tip, this woman should not be engaging in any aerobics for the duration of this pregnancy.
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In some health care facilities, the LPN/LVN is allowed to take telephone orders from a physician. The nurse must be alert and careful when taking verbal orders. One precaution the nurse should take is to:
a. write quickly. b. repeat the order to the physician. c. have another nurse listen on an extension. d. sign and initial the physician's name on the order.
A patient tells the nurse that she is "tired of having leg pain" because it "gets in the way" of enjoying the activities that she wants to do with her family. The nurse should best respond with which of the following?
1. "How does your family react when you are having the pain and can't participate in activities?" 2. "At least you are able to do regular activities around the house.". 3. "But you are still working, so you are productive.". 4. "Everyone has some degree of pain every day, and I'm sure your family understands.".
Which of the following statements most accurately describes the etiology of substance-related disorders?
A) Substance-related disorders result from the interplay of biologic, genetic, and psychosocial factors. B) Substance-related disorders are primarily a result of the presence of an individual's inherently addictive personality. C) The primary predictors of substance-related disorders are childhood trauma and parental abuse or neglect. D) Substance abuse is a learned behavior.
A nurse developed the following discharge summary sheet. Which critical information should the nurse add?
TOPIC DISCHARGE SUMMARY Medication Diet Activity level Follow-up care Wound care Phone numbers When to call the doctor Time of discharge a. Clinical decision support system b. Admission nursing history c. Mode of transportation d. SOAP notes