A male client comes to the emergency department with chest pain
Upon assessment the nurse notes that his blood pressure is 210/100 mmHg. The client's wife says to the nurse, "He has not been taking his blood pressure medication, and we can afford it." What should the nurse's plan of action include?
1. Plan to assess the client for any cultural concerns about the medication.
2. Plan to teach the client the importance of taking his medication.
3. Plan to assess the client for sexual side effects such as erection difficulty.
4. Plan to design a teaching plan about medication that includes the client's wife.
Correct Answer: 3
Rationale 1: Assessment of cultural beliefs is important, but with medications, assessment of side effects is initially more important.
Rationale 2: It is premature to teach the importance of medication to the client without first assessing the reason for noncompliance.
Rationale 3: A common side effect of antihypertensive medication in males is sexual difficulty, such as erection problems.
Rationale 4: It is premature to talk to the client's wife.
Global Rationale: A common side effect of antihypertensive medication in males is sexual difficulty, such as erection problems. Assessment of cultural beliefs is important, but with medications, assessment of side effects is initially more important. It is premature to teach the importance of medication to the client without first assessing the reason for noncompliance. It is premature to talk to the client's wife.
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