The nurse is teaching a client with chronic headaches about headache triggers. Which statements does the nurse include in the client's teaching plan? (Select all that apply.)
a. "Increase your intake of caffeinated beverages."
b. "Increase your intake of fruits and vegetables."
c. "Avoid all alcoholic beverages."
d. "Avoid drinking red wine."
e. "Incorporate physical exercise into your daily routine."
f. "Incorporate an occasional fast into your plan."
B, D, E
Triggers for headaches include caffeine, smoking, and ingestion of pickled foods. Clients are taught to eat a balanced diet and to get adequate exercise and rest.
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The nurse initiates which of the following interventions to assist with temperature stabilization of the newborn? Select all that are appropriate
A) Dry the newborn with a warm blanket. B) Place a hat on the newborn's head. C) Place the naked newborn on the mother's bare chest. D) Give the newborn a warm bath. E) Massage the infant's skin.
For the best therapeutic effect after a myocardial infarction (MI), thrombolytics should be administered within the first 3 hours (ideally 30 minutes) of presentation of symptoms
Studies have shown that thrombolytic therapy, however, can be of benefit up to how many hours after the initial presentation of symptoms of MI? a. 6 hours c. 10 hours b. 8 hours d. 12 hours
The nurse is evaluating the teaching she has done with a client and family. In order to assess the level of learning, she should ask herself which of the following questions? (Select all that apply.)
A) If the teaching were to be repeated, what additional strategies should be used? B) What additional data are needed to evaluate progress toward achievement of the learning objectives? C) Were the learning objectives met? D) Was the home environment appropriate? E) How was the plan collaborative?
An older resident of a nursing home reports to the nurse that during the night someone entered her room and stood by the window watching her. She expresses fear of going to sleep. What action is most appropriate for the nurse to take initially?
a. Reassure her that there was no one in her room and that she must have been dreaming. b. Request a psychiatric consult to evaluate her for cognitive problems. c. Assess the environment in her room to see if there is anything that could be confusing her. d. Suggest to her that she request sleeping medication every night.