Which assessment precaution is most important for the nurse to teach a patient who is prescribed pioglitazone (Actos) as his or her only antidiabetic drug?
a. Measure your blood glucose level about 1 hour after you take this drug.
b. Note whether you experience vivid dreams or nightmares.
c. Check your urine daily for a pinkish color.
d. Weigh yourself daily and keep a record.
D
Pioglitazone is a drug from the thiazolidinedione class. Drugs from this class are associated with heart failure. An early symptom of heart failure is fluid retention leading to weight gain. A weight gain of more than 3 lb in 1 week is an indication of fluid retention.
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After assessing an older adult client with a burn wound, the nurse documents the findings as follows:
Vital Signs Laboratory Results Wound Assessment Heart rate: 110 beats/min Blood pressure: 112/68 mm Hg Respiratory rate: 20 breaths/min Oxygen saturation: 94% Pain: 3/10 Red blood cell count: 5,000,000/mm3 White blood cell count: 10,000/mm3 Platelet count: 200,000/mm3 Left chest burn wound, 3 cm × 2.5 cm × 0.5 cm, wound bed pale, surrounding tissues with edema present Based on the documented data, which action should the nurse take next? a. Assess the client's skin for signs of adequate perfusion. b. Calculate intake and output ratio for the last 24 hours. c. Prepare to obtain blood and wound cultures. d. Place the client in an isolation room.
The nurse is caring for a critically ill patient with a very concerned family. Given that the family is under high stress, what nursing intervention will best ameliorate their stress while preserving independence?
A) Encourage the family to participate in patient care tasks. B) Teach the family to ask questions of the healthcare team. C) Ask the family to select a family representative for communication. D) Limit visits to immediate family members for limited times.
The nurse is implementing validation therapy with an elderly male client to assist him in resolving old conflicts and making peace with himself. Which is one of the techniques used?
a. Sympathy b. Empathy c. Helping the client write a paragraph about his life d. Contacting old acquaintances for their interpretation of the client's life
According to the Ottawa Charter for Health Promotion, which of the following are included in the areas for health promotion action? (Select all that apply.)
a. Creating supportive environments b. Developing personal skills c. Building healthy public policy d. Reorienting health services e. Developing community partnerships