The nurse is creating a plan of care for an obese patient who is ...

[silviawilliams41]

The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention best addresses a short-term goal that the patient could achieve?
 
  a. Running 30 minutes every morning
  b. Stopping smoking immediately
  c. Sleeping on two to three pillows at night
  d. Limiting the diet to 1500 calories a day

Question 2

The nurse is completing a physical examination of a middle-aged adult who has come to the family practice office.
 
  In evaluating the observations made during the examination, the nurse recognizes that which one of the following is an expected finding for a client in this age group? a. Hepatomegaly
  b. Visual acuity less than 20/50
  c. A temperature of 39C
  d. Increased skin turgor and moisture

[Pariscourtney]

Answer to Question 1

C
To achieve a short-term goal, the nurse should plan a lifestyle change that the patient can make immediately that will have a quick effect. Sleeping on several pillows at night will immediately relieve orthopnea and open the patient's airway, thereby reducing sleep apnea and reducing fatigue. Running 30 minutes a day will improve cardiopulmonary health, but a patient needs to build up exercise tolerance. Smoking cessation is another process that many people have difficulty doing immediately. It often occurs as a slow progression, beginning with reduction of frequency. A more realistic short-term goal would be to gradually reduce the number of cigarettes smoked. Limiting caloric intake can help a patient lose weight, but this is a gradual process and is not reasonable for a short-term goal.

Answer to Question 2

B
The visual acuity by Snellen chart is usually less than 20/50.
Hepatomegaly is not an expected finding and would be considered abnormal.
Temperature should be 36.1 to 37.6C.
The expected finding would be a slow, progressive decrease in skin turgor.

[silviawilliams41]

Excellent

[gcook]

TYSM