The practical nurse (PN) is reinforcing a lifestyle modification plan developed by the registered nurse (RN) for a 45-year-old client with newly diagnosed metabolic syndrome. The client is an observant Muslim preparing to fast during the month of Ramadan, smokes one pack of cigarettes daily, and reports high occupational stress. Which actions by the PN are appropriate? Select all that apply.
- Reinforce instructions to consume complex carbohydrates and proteins during the pre-dawn meal (Suhoor) to maintain stable blood glucose levels.Answer
- Ask the client, 'What strategies have you considered to help manage your cravings for cigarettes during the daytime hours?'Answer
- Encourage the client to schedule moderate physical activity, such as brisk walking, during the non-fasting evening hours.Answer
- DAdvise the client that fasting is contraindicated for metabolic syndrome and recommend adhering to a standard daily meal schedule.
- EAsk the client, 'Why don't you just use this fasting period as an opportunity to quit smoking completely?'
- FAdjust the client's prescribed oral antihyperglycemic medication dosage to accommodate the altered dietary intake during the fasting month.
Answer
The correct actions are reinforcing the consumption of complex carbohydrates and proteins before dawn, asking the client about their own strategies for managing cigarette cravings, and encouraging moderate physical activity during non-fasting hours.
The appropriate actions for the practical nurse involve reinforcing safe dietary adjustments, utilizing therapeutic communication to explore smoking cessation strategies, and promoting safe physical activity. Consuming complex carbohydrates and proteins provides sustained energy and blood glucose control during a fast. Exploring the client's own strategies for smoking cessation promotes autonomy using open-ended therapeutic communication. Suggesting exercise during non-fasting hours prevents dehydration and hypoglycemia.
Step-by-Step Solution
Key Concept
Integrating cultural awareness, therapeutic communication, and scope of practice into lifestyle modification and health promotion.