An older man who resides in a nursing home has total cholesterol of 245 mg/dl. Which nursing intervention is most likely to assist this man in achieving his highest level of wellness?
a. Instruct him about increasing dietary fiber.
b. Ask the health care provider for a low-fat diet.
c. Schedule a consultation for him with the dietitian.
d. Review a menu with him to choose suita-ble foods.
D
The nurse collaborates with the older adult to choose suitable foods, which is likely to be an ef-fective nursing intervention to help an older adult with hyperlipidemia achieve optimal health and well-being; it gives him some control over the regimen and thus engages him in the process of lowering serum cholesterol.
Informing the older man about dietary fiber offers no control to him because he is not part of the decision. Nursing interventions developed with the older adult's collaboration are most likely to help the older adult achieve health and wellness. Collaborating with the health care pro-vider for a low-fat diet is a reasonable approach to help this man with hyperlipidemia achieve health and wellness. However, he is more likely to have motivation and enthusiasm for a thera-peutic regimen over which he has had some control. Scheduling a consultation with a dietitian is a reasonable approach to an older adult with hyperlipidemia and is a part of a multifaceted ap-proach to optimizing his health. However, the older adult is more likely to engage in a regimen over which he has input.
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A child with suspected sickle cell disease is scheduled for a hemoglobin electrophoresis. When reviewing the child's history, which of the following would the nurse identify as potentially interfering with the accuracy of the results?
A) Use of iron supplementation B) Blood transfusion 1 month ago C) Lack of fasting for 12 hours D) History of recent infection
A client of normal prepregnancy weight asks what her total weight gain during the pregnancy should be. The MOST appropriate answer for the nurse is:
a. 10 to 12 pounds c. 20 to 25 pounds b. 14 to 16 pounds d. 25 to 35 pounds
Which role can be practiced without an advanced nursing education degree?
1. Nurse-midwife 2. Nurse practitioner 3. Clinical nurse specialist 4. Nurse administrator