Which nursing diagnosis is written at the community-level?
a. Risk of hypertension related to poor diet and sedentary lifestyle
b. Risk of obesity among school-age children related to lack of opportunities to engage in physical activity
c. Risk of ineffective health maintenance among individuals who do not have access to a primary care provider
d. Ineffective coping related to multiple stressors as evidenced by client crying and stating she has no support system
ANS: B
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A 38-year-old client in her second trimester states a desire to begin an exercise program to decrease her fatigue. Which of the following would be the most appropriate nursing response?
1. "Fatigue should resolve in the second trimester, but walking daily might help." 2. "Avoid a strenuous exercise regimen at your age. Drink coffee t.i.d." 3. "Avoid an exercise regimen due to your pregnancy. Try to nap daily." 4. "Fatigue will increase as pregnancy progresses, but jogging daily might help."
A nurse is teaching the parents of an infant with congenital adrenal hyperplasia about the signs and symptoms of adrenal crisis. The nurse determines that the teaching was successful when the parents identify which of the following?
A) Bradycardia B) Constipation C) Fluid overload D) Persistent vomiting
When including a 12-step program in a client's plan of care, the nurse can expect that stress
mediators will include (more than one answer may be correct) A. social support. B. spiritual support. C. professional therapy. D. health-sustaining habits.
What action should the nurse take?
a. verbally warn the other members of the nursing staff to avoid the alleged offender b. assist the uap to confront the offender with tape recorded proof of the harassment c. instruct the uap to document all of the alleged offenses in writing and submit a copy to the supervisor d. advise the uap to request a transfer to a different area of the hospital to avoid further confrontation