A patient has recently been diagnosed with diabetes. The patient is clinically obese and is sedentary. How can the nurse best ensure potential success to increase activity in this patient?
A) Set up appointment times at a local fitness center for the patient to attend
B) Have a family member ensure the patient follows a suggested exercise plan
C) Construct an exercise program and have the patient follow it
D) Identify barriers with the patient that will inhibit change
Ans: D
Feedback: Nurses cannot expect that sedentary patients are going to develop a sudden passion for exercise and that they will easily rearrange their day to accommodate time-consuming exercise plans. The patient may not be ready or willing to accept this lifestyle change. This is why it is important that the nurse and patient identify barriers to change.
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The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?
a. "If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest." b. "If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body." c. "If the baby turns blue, I will immediately put the baby upright in an infant seat." d. "If the baby turns blue, I will put the baby in supine position with his head elevated."
A young man has been diagnosed with hemophilia and the nurse is planning his discharge teaching and includes what teaching point?
A) Using nonsteroidal anti-inflammatory drugs (NSAIDs) for mild pain B) Preventing trauma to the body C) Receiving IV factor VIII therapy at home D) Understanding the condition is an X-linked recessive disorder
How many times does the nurse have to check the drug label prior to administration?
A) One B) Two C) Three D) Four
The nurse is conducting a focused nutritional assessment for an adult patient. Which question is most appropriate for the nurse to ask?
1) "Have you gained weight intentionally over the last year?" 2) "How much did you weigh 1 year ago?" 3) "How do you cope with stress in your life?" 4) "Do you have nausea that lasts more than 2 weeks?"