1.A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and
has a BMI of 26. Which of the following goals should the nurse include?
A. The client will list foods th
...
1.A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and
has a BMI of 26. Which of the following goals should the nurse include?
A. The client will list foods that are high in calcium, which should be avoided.
Rationale: Female clients are at increased risk for osteoporosis; therefore, the nurse should instruct the
client to increase intake of calcium and vitamin D.
B. The client will walk for 30 min 5 days a week.
Rationale: CDC recommendations include engaging in a moderate exercise, such as walking, for a total of
150 min each week.
C. The client will increase calorie intake by 200 cal per day.
Rationale: The client’s BMI indicates the client is overweight; therefore, the nurse should counsel the client
on weight reduction strategies.
D. The client will replace cigarettes with smokeless tobacco products.
Rationale:Smokeless tobacco delivers a higher concentration of nicotine and places the client at risk for
cancer. The nurse should discuss nicotine replacement and acupuncture as measures to stop
smoking tobacco products.
2.A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several
bruises in various stages of healing. The client and family member explain that the bruises are a result of
clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following
actions should the nurse take first?
A. Document the bruises in the client's chart.
Rationale: The nurse should document the bruises in the client’s chart after providing care to comply with
legal guidelines; however, there is another action the nurse should take first.
B. Report the findings to a supervisor.
Rationale: The greatest risk to this client is further injury from continued abuse; therefore, the first action
the nurse should take is to report the findings to a supervisor. Nurses are required to report
suspected cases of child and older adult abuse.
C. Provide the client with a crisis hotline number.
Rationale: The nurse should provide the client and family with a crisis hotline number in case emergency
help is needed; however, there is another action the nurse should take first.
D. Discuss respite care with the client’s family.
Rationale: The nurse should discuss respite care with the client’s family to prevent caregiver role strain;
however, there is another action the nurse should take first.
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