The nurse is speaking with a client regarding current medications. The client states she does not always take the medications as prescribed. What are the potential reasons for this client's noncompliance? (Select all that apply.)
1. Patients sometimes forget doses of medications.
2. The drug may be too expensive or may not be approved by the patient's health insurance plan.
3. Adverse effects such as headache, dizziness, nausea, diarrhea, or impotence often cause noncompliance.
4. The client takes medications as prescribed.
5. The client may not understand the reason for the medication.
1, 2, 3, 5
Rationale 1:Patients sometimes forget doses of medications is one reason a client may not be compliant with medication.
Rationale 2:The drug may be too expensive or may not be approved by the patient's health insurance plan is one reason a client may not be compliant with medication.
Rationale 3:Adverse effects such as headache, dizziness, nausea, diarrhea, or impotence often cause noncompliance is one reason a client may not be compliant with medication.
Rationale 4:Taking a medication as prescribed is compliance with the medication regimen.
Rationale 5: When a client does not understand the reason, or importance, of the medication, it can lead to noncompliance.
Global Rationale: Noncompliance may be caused by forgetting to take a medication, the expense of the drug, adverse effects, or not understanding the importance of taking the drug. Taking the medication as prescribed is not a reason for noncompliance.
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The nurse is serving on a committee to implement new cardiorespiratory monitors in the unit. What actions can the committee recommend to avoid the common mistakes that can occur during the change process? (Select all that apply.)
1. Identify the pros and cons of the new system as compared to the old system. 2. Allow adequate time for the staff to learn how to work the monitors before installing them. 3. Provide a resource person knowledgeable about the new monitors when they are put in use. 4. Keeping the old procedure in place for use of the monitors to prevent confusion 5. Install the new monitors the day after informing the unit about the change.
A mother has concerns about the immunization scheduled for this clinic visit having adverse effects on her child. The nurse's best response to the mother would be:
1. "The doctor wants the child to have the shot." 2. "We will give the injection at the next visit." 3. "More complications are caused by the disease than the immunization." 4. "Side effects are expected, and there is nothing to worry about."
The consequences of discipline must have the following qualities:
a. effective, constructive, and not unduly harsh b. sufficiently harsh to prevent reoccurrence of the offending behavior c. not harsh enough to cause the parents to get into trouble with the law d. not harsh enough to produce guilt in the one to give out the consequences
An 8-year-old girl is scheduled for a renal ultrasound. What would the nurse include in the plan of care when preparing the child for this test?
A) Withholding food and fluids after midnight B) Checking the child for allergies to shellfish C) Ensuring the child has a full bladder D) Informing the child she should feel no discomfort