A patient comes to the health clinic asking for advice on lowering her risk of heart disease. What is the nurse's best response to this request?
1. Conduct a physical exam and discuss the findings.
2. Review the patient's previous medical record and determine risks from that information.
3. Discuss the patient's perceived area of health risks.
4. Conduct a health history and physical exam to determine the areas of risk and use these findings to educate the patient.
4
Rationale 1: Conducting a physical exam would discover some risk factors, but it is not inclusive of the health history.
Rationale 2: Using the patient's old medical record may disclose some risk factors, but it would not include any recent concerns.
Rationale 3: Discussing the patient's perceived area of health risks is important but will be unlikely to capture all health risks.
Rationale 4: A thorough health history and physical exam should disclose a patient's risk factors. Modifiable risk factors can be evaluated and discussed with the patient.
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The nurse would follow all of the following guidelines when doing nutritional counseling with an older female except:
a. limit alcohol to 1 drink per day b. limit water intake to 1000 cc per day c. limit fat and cholesterol d. ensure adequate calcium and vitamin D intake
The patient tells the nurse that everything "tastes funny" since starting a new medication, making eating unpleasant. The nurse has given this medication to other patients and has not heard this complaint from any of them
The nurse checks the drug reference again to learn whether this is a known side effect of the medication and reads that it is. This information may be helpful in making a nursing diagnosis and determining how best to address this problem. Which data from this scenario is considered subjective? 1. The nurse rechecks the drug reference about known side effects of the medication. 2. The patient tells the nurse that everything "tastes funny." 3. The nurse reads that this medication can cause a metallic taste in some patients. 4. Other patients who have taken this medication have never reported this side effect to the nurse.
The nurse reviews the laboratory results for a patient on the first postoperative day after a hiatal hernia repair. Which finding would indicate to the nurse that the patient is at increased risk for poor wound healing?
a. Potassium 3.5 mEq/L b. Albumin level 2.2 g/dL c. Hemoglobin 11.2 g/dL d. White blood cells 11,900/µL
Mr. Henderson was seen in the clinic after slicing his arm on a mower blade. The physician cleaned up the wound and inserted eight sutures to hold the edges of the wound together while it heals. The physician tells the patient to take 1 gram of Tylenol® every 6 hours as needed for pain. Later that afternoon, Mr. Henderson calls the office. He says he has looked in two different drugstores, but no one seems to carry Tylenol® in a strength of 1 gram. He asks what he should do. What should you tell him?
A. Purchase Tylenol® Extra Strength, which contains 500 mg per caplet, and take 2 caplets every 6 hours as needed. B. Purchase Tylenol® Extra Strength, which contains 500 mg per caplet, and take 3 caplets every 6 hours as needed. C. Purchase Tylenol® Regular Strength, which contains 325 mg per tablet, and take 4 caplets every 6 hours as needed. D. Tylenol® 1 g is prescription strength, so you will ask the physician to send a medication order to the patient's pharmacy.