Health Promotion and Maintenance - ML4

A 28-week client with gestational diabetes has not been able to gain blood sugar control through dietary interventions and insulin therapy as prescribed. The nurse knows teaching about insulin therapy has been effective when the client makes which statement?

"I need to use insulin each day as scheduled."

A girl has a urinary tract infection (UTI). Which statement by the parent demonstrates understanding of preventing future UTIs?

"I shouldn't let my daughter take bubble baths."

What is the most important reason for a nurse to encourage a client with peripheral vascular disease to initiate a walking program?

Walking decreases venous congestion.

The nurse is conducting a health history when a middle-aged client states that her last menstrual period was 6 months ago. Upon further questioning, the client also states that symptoms of hot flashes and mood fluctuations. Which question should the nurse ask next?

"Are you taking any hormone replacement therapy?"

To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction?

"Avoid coffee and alcoholic beverages."

Two toddlers are arguing over a toy in the playroom. What should the nurse should say to the children?

"Let me see if I can get both of you a similar toy."

An adolescent informs the school nurse that she is afraid of contracting an STI but her boyfriend does not want to use condoms. What is the best response by the nurse?

"The use of condoms is one of the best ways to reduce the risk of acquiring an STI."

A pregnant client is experiencing a thin, odorless, vaginal discharge. What should the nurse instruct the client to do to prevent vaginal infections?

"Try wearing a panty liner and discarding it after every urination."

The practice of nursing care is multifaceted in its scope and delivery. Which of the following activities describe the role of nursing? Select all that apply.

1. Promoting health 2. Preventing illness 3. Health education and maintenance

A nurse is obtaining a genetic family history of a client. The nurse collects information about family members going back at least how many generations?

3

When assessing an elderly client, the nurse expects to find various aging-related physiologic changes. These changes include

delayed gastric emptying.

Which factor causes wrinkles among older adults?

Loss of subcutaneous tissue

The nurse is providing nutrition counseling for an obese adolescent. What is the most effective way for the nurse to obtain a nutrition history from this client?

Ask her what she ate yesterday if it was a typical day.

The client with chronic renal failure complains of intense itching. Which assessment finding would indicate the need for further nursing education?

Brief, hot daily showers

A nurse is preparing to conduct a health assessment with a 78-year-old man who wears a hearing aid in his left ear. The patient is accompanied by his wife. Which of the following would be most appropriate?

Check to make sure that the patient has his hearing aid turned on and in place in his left ear.

The nurse is working with community groups. At which of the following locations would the nurse anticipate a possible scabies outbreak?

College dormitory

The public health nurse is participating in a health fair, and she interviews a woman with a history of hypertension who is currently smoking one pack of cigarettes per day. She has had no manifestations of coronary artery disease (CAD) but a recent low-density lipoprotein (LDL) level of 154 mg/dL was found. Based on her assessment, the nurse would expect that this patient would be treated in what way?

Diet therapy and smoking cessation

Which is a role of a school nurse?

Monitoring immunization status

A client in labor is attached to an electronic fetal monitor (EFM). Which finding by an EFM indicates adequate uteroplacental and fetal perfusion?

fetal heart rate variability within 5 to 10 beats/minute

Which piece of client information is subjective?

Generalized myalgia or muscle pain

Which definition of health is the best?

Health is a state of complete well-being.

The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?

High-fat diet

Development of malignant melanoma is associated with which risk factor?

History of severe sunburn

A female client is at risk for developing osteoporosis. Which action will reduce the client's risk?

Initiating weight-bearing exercise routines

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply.

Less power Health disparities

A 63-year-old woman has been diagnosed with polycythemia vera (PV) after undergoing a series of diagnostic tests. When the woman's nurse is providing health education, what subject should the nurse prioritize?

Lifestyle modifications and techniques for preventing thromboembolism

Which valve lies between the right ventricle and the pulmonary artery?

Pulmonic valve

After assessing a client's family history, the nurse determines the need for a genetic referral based on which of the following?

Several relatives diagnosed with colon cancer

The nurse is providing education to the patient about wound care and the patient changes the subject to talk about the weather. What does the nurse understand may be the cause of the abrupt change of subject?

The patient may not understand what is being explained by the nurse.

A client asks the nurse what causes the heart to be an effective pump. The nurse informs the client that this is due to the:

inherent rhythmicity of cardiac muscle tissue.

Which medication is considered safe during pregnancy?

insulin

A nurse notes that a neonate's skin appears ruddy 8 hours after birth. Which other sign suggests that this neonate is in the second period of reactivity?

labile heart rate

When bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are

normal

When developing a care plan for a hospitalized client, the nurse knows that children in which age-group are most likely to view illness as a punishment for misdeeds?

preschool age

Which of the following would a nurse encourage a client with gout to limit?

purine-rich foods

When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision?

the prepuce

When developing a care plan for an older adult, a nurse should consider which challenges that clients in this age-group face?

adjusting to retirement, deaths of family members, and decreased physical strength

What data indicates to the nurse that placental detachment is occurring?

an abrupt lengthening of the cord

A hospitalized client who is 26 weeks' pregnant has been diagnosed with gestational diabetes. She is overweight and doesn't understand the diet that the healthcare provider has prescribed. To help the client understand the diet, the nurse would teach the client to choose what food types for a typical meal?

brown rice, spinach, pork tenderloin

A client is 8 weeks pregnant. Which teaching topic is most appropriate at this time?

common discomforts of pregnancy

Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Which of the following activities in the care of a female patient with a recent diagnosis of diabetes mellitus is most congruent with the philosophy of health promotion?

Teaching the patient about measures that she can take to minimize the long-term health effects of her disease

A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?

Testicular cancer is a highly curable type of cancer.

A nurse is performing a neurologic assessment on a 1-day-old neonate in the nursery. Which findings indicate possible asphyxia in utero? Select all that apply.

The neonate's toes do not fan out when soles of the feet are stroked. The neonate doesn't respond when the nurse claps her hands above him. The neonate displays weak, ineffective sucking.

A nurse is presenting a workshop for a group of young women. Part of the workshop focuses on the moral development of women. The nurse integrates information about Gilligan's theory into the presentation, describing the various levels that a woman goes through as morality develops. When describing level 1, the nurse would focus on which area?

Woman's own needs