NRSG Health Promotion
A pregnant client is diagnosed with gestational hypertension. The client tells the nurse that she has been following the recommended pregnancy diet. What should the nurse teach her about her diet at this time?
Change nothing. The recommended diet for a client with gestational hypertension is the same as that recommended for a normotensive pregnant client. Protein intake should be increased during pregnancy. Pregnant clients with gestational hypertension should not restrict their sodium intake or increase their carbohydrate intake over the recommended amount.
Which teaching of the nurse is suitable for the safe and effective care of a client with the condition shown in the image?
"Use splint to minimize the condition" The image represents neck contracture, which occurs during the rehabilitative phase after a burn injury. It is an abnormal condition that signifies flexion and fixation and occurs due to the shortening of the scar tissues in the flexor tissues of the joint. The client is encouraged to use proper positioning, splinting, and exercise to minimize this condition. Physical exercises are promoted to reduce the severity of the condition. The application of moisturizer is recommended to help with any itching sensations. Avoiding sun exposure is not required.
A nurse is conducting an assessment of a 1-year-old in the well-baby clinic. What activity does the nurse expect the infant to have accomplished?
Attempting to climb stairs. A 1-year-old will attempt to climb; with repeated effort, this skill is usually accomplished around 15 months of age. A 1-year-old cannot jump. An 18-month-old child can build a tower of five to six blocks. A 1-year-old can repeat or say no more than one word.
A nurse helps a client to clarify health problems and choose appropriate courses of action. What competency in community-based practice is the nurse exercising?
Counselor. When a nurse is helping a client to identify and clarify health problems and choose appropriate courses of action to solve those problems, the nurse is acting as a counselor. The nurse acts as an educator by establishing relationships with community service organizations. The nurse acts as an epidemiologist when he or she is involved in case finding, health teaching, and tracking incident rates of an illness. The nurse acts as a caregiver when he or she provides appropriate, individualized nursing care for specific clients and their families.
An estrogen-progestin oral contraceptive is prescribed for a client. Which adverse effects should the nurse teach the client to report to the primary healthcare provider? Select all that apply.
Dizziness Chest Pain Calf tenderness Early side effects of oral contraceptives include bloating, nausea, and breast tenderness. Although they may be bothersome enough to lead to discontinuation of the contraceptive, these side effects usually subside in several months. Contraceptives have been associated with thrombophlebitis; clinical manifestations of thrombophlebitis include calf tenderness and redness and heat over the affected area. If the clot travels, it could present as a pulmonary embolism, so chest pain should be reported as well.
The nurse is teaching the parents of a 3-year-old client about fine motor skills, particularly the progression of drawing during this stage of development. Which order of progression stated by the client's parent would indicate understanding of the progression of drawing for the preschool-age child?
Preschool drawing goes through several stages from the beginning to the end during this stage of development. The first stage is the scribble stage, the second is the pattern stage, the third is the shape stage, the fourth is the design stage, and the fifth stage is the pictorial stage.
Which estrogen antagonist is specifically used to prevent and treat osteoporosis in postmenopausal women?
Raloxifene. Raloxifene is used to prevent and treat osteoporosis in postmenopausal women by increasing bone mineral density, reducing bone desorption, and reducing incidences of osteoporotic vertebral fractures. Denosumab is a monoclonal antibody used to treat osteoporosis when other drugs are not effective. Alendronate and zoledronic acid are commonly used for the prevention and treatment of osteoporosis.
What services does block and parish nursing provide for preventive and primary care services? Select all that apply.
Respite Care Running errands Homemaker aides Respite care, running errands, and homemaker aides are services provided by block and parish nurses. Routine physical examinations are provided by a physician's office. Communicable disease control services are provided by occupational health.
A nurse is planning a conference for parents of school-aged children with sickle cell anemia. Which common concern of most parents of children with sickle cell anemia should the nurse address at the conference?
Sharing feelings regarding the transmission of the disorder. Discussions with parents who have children with similar problems help ease their discomfort and feelings of guilt. This is especially true in regard to genetically transmitted diseases. Children with sickle cell anemia should be allowed to attend the same schools as their healthy peers. There is no recommended therapeutic climate for children with sickle cell anemia. Some parents do not choose to avoid future pregnancies, and they should not be encouraged to do so.
