Author Question: A 34-year-old mother delivered her third child 1 year ago. She tells the nurse that her New Year's ... (Read 94 times)

nenivikky · **on:** Jul 22, 2018

A 34-year-old mother delivered her third child 1 year ago. She tells the nurse that her New Year's resolution is to lose the 15 pounds that she gained with this pregnancy over the next month.

Which of the following is the best statement that the nurse can make to help the patient achieve her weight loss goal? a. I don't think you need to lose the weight; you look fine as you are.
b. The weight will come off by itself because you are breastfeeding.
c. Let's talk about giving yourself a realistic timeframe to lose it.
d. That is a realistic, healthy goal for you to have.

Question 2

A nurse is working on a medical unit in an acute care hospital. One of the patients she is caring for has a fever of 100.6 F. Which of the following is the best reason why the patient should not receive an antipyretic at this time?

a. A temperature of 100.3 F is within the normal range.
b. Shivering is a more effective way to dissipate heat energy.
c. Corticosteroids are safer to use than antipyretics.
d. Mild fevers are an important defense mechanism of the body.

tmlewis4706 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Helping the patient set a realistic time frame will be most therapeutic. Patients often have unrealistic expectations about nutritional needs or dieting in reference to weight gain or loss. Help patients understand this concept by asking them to reflect on their rate of weight gain or loss. Changes in weight usually occur over months or years unless an acute illness has occurred. I don't think you need to lose the weight is the nurse's opinion and is not therapeutic. The child is 1 year old, breastfeeding probably is not occurring, and it is not an accurate statement. It is not healthy or realistic to lose weight fast; recommended weight loss is to 1 lb per week.

Answer to Question 2

D
Fever, or pyrexia, is an important defense mechanism. Therefore most health care providers will not treat an adult's fever until it is higher than 39 C (102.2 F). For healthy young adults the average oral temperature is 37 C (98.6 F). In the elderly population, the average core temperature ranges from 35 to 36.1 C (95 to 97 F) because of decreased immunity. Shivering is counterproductive because of the heat produced by muscle activity. Although not used to treat fever, corticosteroids reduce heat production by interfering with the hypothalamic response. It is important to note that these drugs mask signs of infection by suppressing the immune system.