The nurse formulating a discharge plan for a client with Addison's disease should place the highest emphasis on
a. compliance with replacement therapy.
b. prevention of the complication of hypertension.
c. teaching the client how to cope with a chronic disease.
d. weight control and the importance of good nutrition.
A
The nurse should provide the client and significant others with written instructions for self-administration of steroids. This information should include the importance of taking medica-tions daily, without fail, exactly as prescribed. Teaching the client measures to increase coping are also important, but do not take the priority that option a does.
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The nurse notes that clients react to pain differently following similar procedures, and concludes which of the following?
1. Some clients like the effect of analgesics, and request more frequent administration. 2. Clients from different cultures react differently to pain. 3. Clients with higher incomes expect a greater degree of pain relief. 4. Male clients don't admit to pain because they want to appear strong and in control.
Which nursing action is most appropriate for assessing a patient's learning needs?
a. Assess the patient's total health care needs. b. Assess the patient's health literacy. c. Assess all sources of patient data. d. Assess the goals of patient care.
A patient taking lisinopril (Zestril) for heart failure reports a nagging, nonproductive cough. What is the nurse's best first action?
a. Ask the patient whether he or she has received the annual influenza vaccination. b. Ask the patient how much the cough is interfering with sleep or other activities. c. Document the report as the only action. d. Notify the prescriber immediately.
An elderly client is brought to the emergency room following ingestion of an unknown substance. The client, who appears to have dementia, has tremors, depression, and confusion. The nurse should assess the client for poisoning by:
A) Lead. B) Aluminum. C) Manganese. D) Mercury.