The nurse is assessing a client with a diagnosis of hypertension. The client's blood pressure is 178/88, an increase from 134/78 at the previous clinic visit. The nurse asks the client what has changed from the previous visit
Which client statement identifies a potential factor interfering with the plan of care?
A) My husband has been ill and I don't have anyone to help me care for him.
B) I have learned to prepare foods differently so they are low in fat.
C) My neighbor walks with me around the neighborhood every morning.
D) I have been taking my hydrochlorothiazide (HydroDIURIL) every day.
Ans: A
Common factors that contribute to a client not following the plan of care include lack of family support, inability to afford treatment, limited access to treatment, and adverse physical or emotional effects of treatment. The burden of caring for her husband may be placing stress on the client, and causing her blood pressure to be elevated despite engaging in health promotion and blood pressure-lowering activities.
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Which of the following insulin regimens is most likely to achieve adequate glycemic control? A) Small doses of long-acting insulin administered four to five times daily B) Doses of basal insulin twice daily with regular insulin before each meal C) Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening D) Divided doses of intermediate-acting insulin every 2 hours, around the clock
Which of the following is true regarding caput succedaneum?
a. It is a subperiosteal collection of blood. b. It is firm and its edges are well defined. c. It develops several days after delivery. d. It is seen over the presenting part of the head.
Which of the following would indicate a conflict in morality?
1. The nurse provides the mother of a dying neonate a cup of coffee in the intensive care unit. 2. The nurse provides a terminally ill client a meal that includes foods that should avoid but requested. 3. The nurse provides over-the-counter pain relievers to the daughter of a client because of a headache. 4. The nurse purchases the daily newspaper for a client who does not have any money but will when his wife comes to visit.
Formal communication in health care is used to properly inform staff of (select all that apply):
a. Changes in CPR certification dates. b. Christmas party celebration. c. Patient survey results. d. Girl Scout cookie order pick-up. e. Termination of an employee.