: A nurse is providing the client information about the prescribed medication. Which statement requires additional teaching about the medication regime?
1. I will take the medication as directed.
2. I should skip my medication when I cannot afford it.
3. I understand why I need the medication.
4. I know the importance of not self-adjusting my medication.
2
Rationale 1: This statement reflects compliance with the medication regime.
Rationale 2: This statement identifies that the client is struggling with financial obligation.
Rationale 3: This statement supports understanding of the medication.
Rationale 4: This statement supports compliance with taking the prescribed amount of the medication.
Global Rationale: Many factors influence whether patients comply with pharmacotherapy. A nurse should use the nursing process and identify noncompliance issues such as side effects, financial issues, and medication times.
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The nurse is checking the gastric aspirate for the patient receiving tube feedings. She notes the 200 mL of pale yellow and cloudy fluid with a pH of 7.3 . Which action should she take?
a. Stop the feeding immediately; then notify the prescribing provider. b. Hold the tube feeding for 2 hours; continue if residual is less than 200 mL. c. Flush tube with 30 mL of sterile water; resume tube feeding at prescribed rate. d. Administer a promotility agent as prescribed; resume feeding in 1 hour.
The nurse is working with the parents of an infant who has a small ventricular septal defect. The mother asks if the child will have surgery and, if not, what will be done about this defect
The nurse knows and will share with the parents that small ventricular septal defects are usually treated by: a. immediate surgery b. surgery at age 3 c. waiting to see if it closes spontaneously in the first 2 years of life d. inserting an umbrella device or coil by catheterization to close off the defect
A nurse is caring for a client who has sustained injuries as a result of a car accident. The client is having trouble sleeping and constantly relives the incident. Which is the most appropriate diagnostic statement that the nurse should make?
A) Posttrauma response related to the automobile accident AEB nightmares, insomnia B) Client has nightmares, insomnia related to the automobile accident C) Client is showing signs of being in a state of shock after automobile accident D) Posttrauma response related to automobile accident AEB nightmares. Paxil administered.
When the nurse communicates with a newly admitted client, the nurse must pay particular attention to nonverbal behaviors. Which of the following behaviors is the most important to pay attention to during communication?
A) Accent B) Tone of voice C) Documentation D) Education