RN Health Promotion and Maintenance 3

Question 1

A nurse is educating a patient with newly diagnosed hypertension. Which statement by the patient indicates understanding of lifestyle modifications?

Accepted Answer

'I will exercise for 30 minutes most days of the week and limit sodium to 2,300 mg/day.'

Answer

'I will limit my alcohol to two drinks per night.'

Answer

'I will start a high-protein, low-carbohydrate diet immediately.'

Answer

'I only need to make changes when my blood pressure is very high.'

Question 2

Which teaching should the nurse provide to a patient who is immunocompromised regarding infection prevention?

Accepted Answer

Practice hand hygiene frequently, avoid crowds, and report fever above 100.4°F (38°C) immediately

Answer

Avoid fresh fruits and vegetables entirely

Answer

Stop all prescribed medications during illness

Answer

Wear a mask only in hospitals

Question 3

A school nurse is teaching adolescents about skin cancer prevention. Which statement is most important?

Accepted Answer

Apply broad-spectrum SPF 30+ sunscreen and reapply every 2 hours during outdoor exposure

Answer

A base tan provides adequate sun protection

Answer

Tanning beds are safer than outdoor sun exposure

Answer

Skin cancer only affects older adults

Question 4

A nurse is teaching a patient with chronic obstructive pulmonary disease (COPD) about energy conservation. Which technique is most appropriate?

Accepted Answer

Use pursed-lip breathing during exertion and schedule rest periods

Answer

Perform all activities quickly to get them done

Answer

Avoid all physical activity to prevent dyspnea

Answer

Breathe rapidly through the mouth during activity

Question 5

A nurse is teaching postpartum care to a new mother who had a vaginal delivery. Which instruction is most important for perineal wound care?

Accepted Answer

Use a peri-bottle with warm water after each toileting episode and apply ice packs in the first 24 hours

Answer

Apply heat packs continuously for the first 48 hours

Answer

Take a full bath immediately after delivery

Answer

Avoid all pain medication to prevent transfer through breast milk

Question 6

Which health promotion teaching is most appropriate for a patient who has been newly prescribed metformin for type 2 diabetes?

Accepted Answer

Take metformin with food to reduce GI side effects, monitor blood glucose, and maintain adequate hydration

Answer

Avoid all carbohydrates entirely

Answer

Stop metformin if blood glucose reaches normal levels

Answer

Take metformin on an empty stomach for best absorption