When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
- A. A person’s decreased muscle tone
- B. A person’s amount of leisure time
- C. A person’s decreased range of motion
- D. A person’s use of a cane
Correct Answer: B
Rationale: The amount of leisure time is a subjective finding that can influence the activity-exercise pattern and needs to be considered in nursing practice.
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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.
Which vaccination initiatives should be prioritized for young adults?
- A. Rubella prevention
- B. Lyme disease prevention
- C. Hepatitis B prevention
- D. Human papillomavirus (HPV) prevention
Correct Answer: D
Rationale: HPV and Hepatitis B vaccinations are essential for young adults due to their high exposure to these diseases.
A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?
- A. “You should gain 11 to 20 pounds during your pregnancy.”
- B. “You should gain 15 to 25 pounds during your pregnancy.”
- C. “You should gain 25 to 35 pounds during your pregnancy.”
- D. “You should gain 28 to 40 pounds during your pregnancy.”
Correct Answer: B
Rationale: Overweight women (BMI 25-29.9) should gain 15-25 pounds during pregnancy.
A 19-year-old student is distressed over unprotected sex and potential pregnancy. What should the nurse say?
- A. Let’s talk about your options; you must be 21 to purchase emergency contraception.
- B. Don’t worry; you can buy Plan B without a prescription; it will terminate the pregnancy.
- C. Don’t worry, we are in one of the 40 states that allow Plan B; let’s discuss how to use it.
- D. You have several options; let’s discuss what is best for you.
Correct Answer: D
Rationale: The nurse should provide a range of options and let the teen decide the next steps, including discussing emergency contraception.
A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by the nurse best demonstrates the use of reflection?
- A. “I have also struggled with finding time to exercise on a regular basis.”
- B. “Regular exercise plays an important role in preventing many health problems.”
- C. “You said that you have difficulty making time in your day for exercise.”
- D. “It may be helpful if we developed a goal related to daily exercise.”
Correct Answer: C
Rationale: Reflection involves paraphrasing or summarizing the person's words to indicate interest and focus the discussion.
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