During a home visit an older patient with heart disease tells the nurse of plans to shovel the snow as soon as the visit concludes. How should the nurse instruct the patient at this time?
1. Shovel the steps only.
2. Avoid shoveling at this time.
3. Shovel for 30 minutes at a time.
4. Shovel for 10 minutes and then stop.
2
Rationale: The older heart cannot respond to stressful stimuli as well as the younger heart. The patient should be cautioned not to engage in stressful activities like vigorous shoveling of snow without engaging in a gradual exercise program to build fitness. Shoveling the steps could be harmful to the patient.
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A hospitalized client with a mood disorder is assessed to be high risk for suicide. The nurse should intervene by:
1. Encouraging repetitive discussions of suicidal ruminations. 2. Removing dangerous objects from the client's room. 3. Evaluating suicide intention every three days. 4. Using a strict regular schedule for client observation.
The nurse is caring for a patient who has undergone a splenectomy, and notices that the patient's platelet count has increased. The nurse realizes that the increase is due to:
a. platelet response to infection. b. stimulation secondary to erythropoietin. c. the patient's inability to store platelets. d. the platelet's 120-day life cycle.
The patient is ordered Compazine 25 mg supp pr q6h prn nausea. The frequency ordered for the
Compazine is every 6 hours ________ _________. Fill in the blank(s) with correct word
A client with osteoporosis has been prescribed raloxifene (Evista). Which question should the nurse ask to determine the client's risks for complications with this drug?
1. "Have you ever had esophageal or ulcer disease?" 2. "Do you have a history of abnormal breast biopsies?" 3. "Have you ever had or been treated for blood clots?" 4. "Have you ever had any broken bones?"