1125 PrepU Health Promotion

A client is prescribed 325 mg/day of oral ferrous sulfate. What does the nurse include in client teaching?

Take 1 hour before breakfast

Students are reviewing information about the use of adjuvant hormonal therapy for breast cancer. They demonstrate an understanding of this information when they identify which of the following is an example of a selective estrogen receptor modulator (SERM)?

Tamoxifen

In which situation is the nurse providing tertiary prevention?

Teaching rehabilitation exercises to a client after a mastectomy

Which is an example of tertiary health promotion?

Rehabilitation

A nurse working in a community clinic is discussing lifestyle modifications with a client. The client has been advised to lose weight because of a BMI greater than 25. Which statement by the nurse would be most therapeutic in helping the client?

"I can offer you some information outlining a variety of ways to lose weight."

Which statement demonstrates that a client has understood instructions about breast self-examination?

"I need to use the pads of three fingers to apply pressure when checking each breast."

What information would the nurse include when teaching potential parents about prevention of congenital deformities? Select all that apply.

"Limit exposure to alcohol." "Do not take any medication without first talking to your health care provider."

The nurse is giving an educational talk to a local parent-teacher association. A parent asks how he can help his family avoid community-acquired infections. What would be the nurse's best response to help prevent and control community-acquired infections?

"Make sure your family has all their childhood immunizations."

A client with osteoarthritis expresses concerns that the disease will prevent the ability to complete daily chores. Which suggestion should the nurse offer?

"Pace yourself and rest frequently, especially after activities."

A nurse is providing dietary interventions for a 5-year-old with an iron deficiency. Which response indicates a need for further teaching?

"Red meat is a good option; he loves the hamburgers from the drive-thru."

Parents of a school-age child with asthma express concern about letting the child participate in sports. What will the nurse instruct the parents about the relationship between exercise and asthma?

"Taking prophylactic medication before the activity can prevent asthma attacks, making exercise safer."

A woman is in her early second trimester of pregnancy. The nurse would instruct the woman to return for a follow-up visit every:

4 weeks

A 47-year-old male has decided he requires more exercise, needs to eat a heart healthy diet, and avoid alcohol. This patient has determined which of the following?

A change in lifestyle influences health

The nurse observes a client's uric acid level of 9.3 mg/dL. When teaching the client about ways to decrease the uric acid level, which diet would the nurse suggest?

A low-purine diet The nurse would suggest a low-purine diet. Foods to avoid are anchovies, animal organs and sardines.

A nurse is reviewing the medical record of a patient who has just learned that she is pregnant. Which of the following would the nurse identify as being least likely to indicate a need for a genetic evaluation referral?

Age 33 years at expected delivery

The nurse is caring for a client with coronary artery disease (CAD). What is an appropriate nursing action when evaluating a client with CAD?

Assess the characteristics of chest pain.

A client has an elevated temperature. The nurse is applying a cool compress to his forehead. This is an example of which of the following types of heat loss?

Conduction

A nurse is obtaining health history from a client with a genetic disorder. Which of the following would be most appropriate for the nurse to establish the pattern of inheritance?

Construct a pedigree of the client's family.

Which factor is a leading health indicator used to measure the health of the nation?

Cultural awareness

The nurse working in a predominantly Amish community realizes that one reason the Amish do not obtain mammograms is because of transportation issues. The nurse obtains a grant to fund a dedicated van to provide transportation for members of the community to obtain mammograms. According to Leininger, this nurse is providing culturally congruent nursing care through which of the following?

Culture care accommodation The nurse is using culture care accommodation by overcoming the transportation issues to help the clients achieve a beneficial health outcome.

A nurse preparing a presentation about the practice of nursing for a group of first-year nursing students plans to incorporate the American Nurses Association phenomena of care. Which of the following would the nurse include? Select all that apply.

Decision making Self-care Lifespan changes Emotions

During a nutritional assessment, the nurse measures a woman's waist at 38.5 inches (98 cm). Based on this finding, which of the following is a priority intervention?

Educate the client regarding her increased risk for hypertension and diabetes.

The client is in a rehabilitation unit after a traumatic brain injury. In order to facilitate the client's recovery, what would be the nurse's most appropriate intervention?

Encourage the client to provide as much self-care as possible.

A nurse is preparing a presentation for a group of high school athletes about temperature regulation during activity such as practice. When describing the mechanisms of heat loss, which of the following would the nurse identify as primarily responsible when environmental temperatures are very high?

Evaporation

An older adult patient is experiencing presbycusis. When interviewing the patient, the nurse would be alert for problems associated with which consonants? Select all that apply.

F P S The hallmark of presbycusis is the impaired ability to understand high-frequency components of speech

The nurse is conducting a vision assessment on a 2-year-old child. The nurse should assess for which visual ability in this child?

Fixation on an object

The nurse is developing a plan of care for a client with toxic epidermal necrolysis (TEN) or Stevens-Johnson syndrome. Which action should the nurse include?

Frequently inspect the oral cavity.

Which type of nursing diagnosis has as its goal to increase well-being and enhance specific health behaviors?

Health promotion

The nurse is assessing a client with an ulcer for signs and symptoms of hemorrhage. The nurse interprets which condition as a sign/symptom of possible hemorrhage?

Hematemesis Very large amounts of blood in the vomit

A client with endocarditis is being discharged home. What statement indicates effectiveness of client teaching about preventing recurrence of the infection?

I will ask for antibiotics whenever I have dental work done."

A nursing instructor is preparing a class on pressure ulcers. Which of the following would the instructor most likely include as a possible risk factor? Select all that apply.

Immobility Anemia Increased moisture

Which capability corresponds with home health care?

Improvises when providing care

A nursing student is caring for a client with gastritis. Which of the following would the student recognize as a common cause of gastritis? Choose all that apply.

Ingestion of strong acids Irritating foods Overuse of aspirin

Which of the following are disease-modifying agents used in the treatment of multiple sclerosis (MS)? Select all that apply.

Interferon beta-1a (Avonex) Interferon beta-1a (Rebif) Interferon beta-1b (Betaseron) Glatiramer acetate (Copaxone)

Which infecting agent causes scabies?

Itch mite

A nurse is preparing a presentation for a health fair about preventing breast cancer. Which of the following would the nurse include?

Maintaining an ideal weight

A nurse is planning care for a client who will be arriving to the unit postoperatively from bariatric surgery. In an effort to decrease the risk of venous thromboembolism (VTE), which health care provider orders does the nurse anticipate?

Mechanical compression and prophylactic anticoagulation

While examining a client's leg, a nurse notes an open ulceration with visible granulation tissue in the wound. Until a wound specialist can be contacted, which type of dressing should the nurse apply?

Moist sterile saline gauze

The nurse is reviewing the chart of a client who was diagnosed with a cleft lip and palate at birth. The nurse demonstrates understanding of this disorder, identifying it as involving which type of inheritance pattern?

Multifactoral

The nurse is considering targeting a risk group for preventive education. Which group would benefit most from this education?

Obese clients age 20-40

The nurse is giving an educational presentation to the local Le Leche league chapter. One woman asks about risk factors for mastitis. How should the nurse respond?

Pierced nipple

A client in her 29th week of gestation reports dizziness and clamminess when assuming a supine position. During the assessment, the nurse observes there is a marked decrease in the client's blood pressure. Which intervention should the nurse implement to help alleviate this client's condition?

Place the client in the left lateral position.

A client with a traumatic amputation of the right lower leg is refusing to look at the leg. Which action by the nurse is most appropriate?

Provide feedback on the client's strengths and available resources.

A nurse and a nursing student are performing a physical assessment of a client with pericarditis. The client has an audible pericardial friction rub on auscultation. When leaving the room, the student asks the nurse what causes the sound. The nurse's best response is which of the following?

The pericardial surfaces lose their lubricating fluid because of inflammation and rub against each other.

A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation?

a diaphragm and spermicide

A pregnant client is undergoing a fetal biophysical profile. Which parameter of the profile helps measure long-term adequacy of the placental function?

amniotic fluid volume

An adolescent with well-controlled type 1 diabetes has assumed complete management of the disease and wants to participate in gymnastics after school. To ensure safe participation, the nurse should instruct the client to adjust the therapeutic regimen by:

eating a snack before each gymnastics practice.

A client reports light-headedness, chest pain, and shortness of breath. They physician orders tests to ascertain what is causing the client's problems. Which test is used to identify cardiac rhythms?

electrocardiogram An electrocardiogram is used to identify normal and abnormal cardiac rhythms

It is appropriate for the nurse to recommend smoking cessation for clients with hypertension because nicotine

increases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood.

Cultural imposition

is the imposition of one's culture on a person from a different culture

Cultural blindness

is the inability of people to recognize their own values and beliefs and/or those of others.

A nurse is discussing the importance of good nutrition to a young pregnant client. The nurse would point out that the growing fetus is getting nutrition from the mother via which structure?

placenta

culture care restructuring

refers to actions that help clients change their lifestyle toward more beneficial patterns