For a hypertensive client who reports being "really fired up" about losing weight, the nurse would recognize the need for more education on hearing the client's plan to
a. abruptly eliminate sugar from the diet.
b. lose 1 pound a week.
c. use over-the-counter appetite suppressants.
d. walk and climb stairs.
C
Clients should avoid over-the-counter (OTC) appetite suppressants because these preparations often contain ingredients that increase blood pressure.
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Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy
He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse's response to Mr. Lepp? A) Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy. B) Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first round of chemotherapy and continue indefinitely. C) The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. D) Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed.
A 3-year-old child with severe head trauma is intubated and on a respirator. The child has three flat electroencephalograms (EEG) completed 24 hours apart. The electrocardiogram (EKG) shows a rate of 90 beats per minute in a normal sinus rhythm
Which of the following describes these findings? 1. Heart–lung death 2. Cerebral death 3. Imminent death 4. Natural death
The vital signs of a postpartum patient on day 1 after delivery are: Temp 99ºF, RR 18, HR 78, BP 140/90. What is the appropriate intervention by the nurse?
A) Report the slight elevation in BP B) Nothing, the vital signs are within normal limits C) Recheck all vital signs in 30 minutes D) Recheck only the BP in 30 minutes
An adult client is brought to the emergency department by emergency medical services after being hit by a car. The name of the client is not known. The client has sustained a severe head injury and multiple fractures and is unconscious
An emergency craniotomy is required. In regard to informed consent for the surgical procedure, which of the following is the best initial action? 1. Obtain a court order for the surgical procedure. 2. Transport the victim to the operating room for surgery. 3. Call the police to identify the client and locate the family. 4. Ask the emergency medical services team to sign the informed consent.