When educating a newly diagnosed client about management of diabetes mellitus, the nurse recognizes that health care–related communication
a. does not lead to errors within the hospital.
b. is generally well understood by most clients.
c. is not an important component of client care.
d. can cause clients to misunderstand information.
ANS: D
It is important to make verbal and written information as simple as possible. Nurses need to assess the health literacy level of each client. Nurses should provide privacy to avoid embarrassment and obtain feedback or "teach-backs" to determine the client's understanding of teaching: Simplify, Clarify, Verify!
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A patient has taken diazepam (Valium) for 1 week for back spasms. The patient complains of "feeling sleepy all the time." The nurse should tell the patient
a. "The dosage probably needs to be decreased." b. "Drowsiness indicates a paradoxical reaction to the drug." c. "Tolerance to the sedative effect of the drug will develop quickly." d. "Sleepiness is an unavoidable side effect of non-benzodiazepine drugs."
A patient who is taking chlorpromazine calls the clinic to report having reddish-brown urine. What action will the nurse take?
a. Notify the provider and request orders for creatinine clearance and BUN levels. b. Reassure the patient that this is a harmless side effect of this medication. c. Tell the patient to come to the clinic for a urinalysis. d. Tell the patient to discard any drug on hand and request a new prescription.
A patient begins taking nicotinic acid (Niacin) and reports dizziness and flushing of the skin. The nurse will perform which action?
a. Contact the provider to discuss decreasing the dose. b. Counsel the patient to increase fluid intake. c. Request an order for renal function tests. d. Schedule the medication to be taken with meals.
The Bureau of Labor Statistics predicts that by 2018 the need for nurses will
A) decrease by 12%. B) remain at current levels. C) increase by 22%. D) be undeterminable.