Which would be included in teaching for patients with Raynaud's disease? (Select all that apply.)
a. Warm hands and feet with a heating pad
b. Use mittens in cold weather
c. Practice stress-reducing techniques
d. Complete smoking cessation
e. Use caution when cleaning the refrigerator or freezer
Question 2A patient scheduled for dialysis is on a fluid restriction of 1000 mL/day. The nurse sees the patient drinking a 355 mL soft drink after the patient has already reached the maximum intake of fluid for the day.
The nurse has instructed the patient on the risks of fluid overload. What action should the nurse take?
A) Take the soft drink away from the patient and inform the dialysis nurse to remove extra fluid from the patient during his next dialysis treatment.
B) Document the patient's behavior as noncompliant and notify the health care provider.
C) Restrict the patient's fluid for the following day and communicate this information to the charge nurse.
D) Reinforce the importance of the fluid restriction, and document the teaching and the intake of extra fluid.
Question 3After attending a weekend retreat the nurse decides to start meditating daily. What will be the biggest challenge for the nurse when learning to meditate?
A) Achieving deep relaxation
B) Focusing on a word or prayer
C) Being open to random thoughts
D) Being still rather than doing something
Question 4Modifiable risk factors for coronary artery disease include: (Select all that apply.)
a. weight.
b. diet.
c. genetics.
d. exercise.
Question 5The nurse assesses a 94-year-old resident of a nursing home who has diabetes mellitus. For which of the following signs and symptoms should the nurse perform a blood glucose test?
A) Restlessness and postural hypotension
B) Somnolence and slurred speech
C) Perspiration and incontinence
D) Numbness and weak pulses
Question 6The nurse suggests that a patient start a journal. How should the nurse explain the difference between journaling and life stories?
A) Life stories are factual reports. Journals are limited to the search for insights.
B) Life stories are the reminiscences of the elderly. Journals are the diaries of the young.
C) Journaling examines activities and thoughts in the present. Life stories are accounts from the past.
D) Life stories are fictional accounts loosely based on real life. Journals are accurate, factual accounts.
Question 7Edema and pulmonary congestion are treated with:
a. Unlimited activity, high protein diet, weights weekly
b. Bed rest, normal diet, weights four times daily
c. Increase in fluids, no activity restrictions
d. Diuretics, restriction of sodium diet and fluid intake
Question 8The nurse spends time with friends, talking about situations and events that have occurred. What is the primary benefit that the nurse will gain from sharing personal life stories?
A) Increased ability to meet patients' psychosocial needs
B) Realization that others have experienced similar life difficulties
C) Awareness that others can be helped after tending to self-care needs first
D) Realization that changes need to be made to promote a healthful lifestyle
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