Following the evaluation phase of the nursing process, what could cause a lack of medication response?
1. All medications produce appropriate response.
2. Nonadherence to drug regimen
3. Lack of change in client's health condition
4. Adherence to drug regimen
Correct Answer: 2
Rationale 1: This statement is false.
Rationale 2: Nonadherence to drug regimen can cause a lack of medication response.
Rationale 3: A lack of response is most likely caused by nonadherence to drug regimen. A lack of change in the client's condition should yield a response to the medication.
Rationale 4: A lack of response is most likely caused by nonadherence to drug regimen.
Global Rationale: Non-adherence to drug regimen can cause a lack of medication response. Not all medications produce appropriate responses. A lack of change in the client's condition should yield a response to the medication. Adherence to the drug regimen should cause a response not a lack of response to the medication.
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A patient is being discharged from the healthcare facility following surgical replacement of a mitral valve with a mechanical valve. The patient asks the nurse how much longer he will need to take warfarin (Coumadin). What is the nurse's best response?
1. "You will be on it for the rest of your life because you have a mechanical valve." 2. "That will depend on your surgeon. Ask her when you go to your office visit." 3. "You will be on it for the rest of your life because you have a biologic tissue valve." 4. "You will be told when to stop, usually when your mechanical prosthetic valve is healed and there is a minimal risk of clots."
Client care evolves around assessment and evaluation. As the nurse, you will always be assessing and evaluating the client's response
Indicate whether the statement is true or false
The nurse is teaching a patient about the use of a transdermal nitroglycerin patch. Which statement by the patient indicates understanding of the teaching?
a. "I will apply the patch as needed when I experience anginal pain." b. "I will remove the old patch and replace it with a new one at bedtime each day." c. "I should rotate sites when changing the patch to prevent skin irritation." d. "When I am symptom-free, I may stop using the patch on a regular basis."