Nokea
A nurse is discussing exercise intensity with a client. Which of the following medications that the client is taking may limit the usefulness of heart rate as an indicator of exercise intensity?
- A. Ciprofloxacin (Cipro)
- B. Metoprolol (Toprol)
- C. Atorvastatin (Lipitor)
- D. Lansoprazole (Prevacid)
Correct Answer: B
Rationale: Beta-blockers like metoprolol can alter heart rate response, limiting its usefulness as a measure of exercise intensity.
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A nurse is educating a 26-year-old, sexually active, female client about the screening tests that are now covered without a copayment or co-insurance because of the Affordable Care Act. Which of the following preventive services would the nurse include in this discussion?
- A. Tobacco use screening
- B. HIV screening
- C. Cervical cancer screening
- D. Breast cancer mammography screening
Correct Answer: B
Rationale: The Affordable Care Act mandates that HIV screening is covered without copayment or co-insurance.
Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy-producing system and improve cardiorespiratory endurance is known as:
- A. Aerobic activity.
- B. Anaerobic activity.
- C. Flexibility.
- D. Muscular fitness.
Correct Answer: A
Rationale: Aerobic activity is designed to improve cardiorespiratory endurance by using large muscle groups.
Nutrition and older adults: What is true?
- A. "Older adults who live in their own homes are more likely to be malnourished."
- B. "Older adults lose their desire for high-fat, salty foods."
- C. "Meals served in long-term care institutions are usually more well-balanced."
- D. "Many older adults are not aware of food assistance programs."
Correct Answer: D
Rationale: Many older adults are unaware of food assistance programs like SNAP, which can help with nutrition.
Which of the following best describes person-centered communication?
- A. The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?”
- B. The nurse responds to person seeking care’s request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.”
- C. The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?”
- D. The client says to the nurse, “I can’t believe I have cancer.” The nurse responds by saying, “One of my closest friends had cancer and had to have chemotherapy.”
Correct Answer: C
Rationale: Person-centered communication focuses on recognizing and clarifying the person's concerns, allowing the person to elaborate.
A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?
- A. “Your infant is in distress. We should call an ambulance.”
- B. “You need to be more active; take a dance class once a week.”
- C. “At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus.”
- D. “You probably counted incorrectly.”
Correct Answer: C
Rationale: By the second trimester, fetal movement can decrease due to limited space in the uterus.