The nurse uses the acronym MAWDS to teach a patient about self-care management for heart failure. Which instruction would this method contain?
1. "You should return to the clinic for monthly follow-up.".
2. "Check your weight daily.".
3. "Elevate the feet for twenty minutes twice daily.".
4. "Avoid large crowds.".
2
Rationale 1: Follow-up is scheduled on an individual basis and may vary, depending on symptoms.
Rationale 2: MAWDS stands for medication, activity, weight, diet, and symptoms. Part of the self-management plan is checking daily weight and knowing when to report weight changes.
Rationale 3: Elevation of the feet may or may not be indicated for individual patients.
Rationale 4: Avoiding large crowds is not a typical instruction for a heart failure patient and is not part of the MAWDS regimen.
You might also like to view...
A 32-year-old woman who takes oral contraceptives is to undergo surgery and as a result will be on bed rest for 48 hours. The patient may be at an increased risk of developing:
A) Deep vein thrombosis B) Intermittent claudication C) Raynaud's disease D) Thoracic aneurysm
Nurses have to memorize a great deal of information in clinical practice. When trying to memorize all the different units in the apothecaries' and metric systems, you should do the fol-lowing: (Select all that apply.)
1. Master the familiar units 2. Learn equivalents in two systems 3. Memorize all information 4. Depend on other nurses
A patient with a spinal cord injury has a blood pressure of 90/60 mmHg, flaccid paralysis on the right, absent bowel sounds, zero urine output, and palpation of a distended bladder. Which health problem should the nurse suspect is occurring with this patient?
A. Spinal shock B. Temporary hypovolemia C. Paralysis D. High cervical injury
If a patient has an initial LDL cholesterol level of 180 mg/dL and implements TLC dietary changes, and if after 6 weeks the serum LDL cholesterol level has decreased only to 165 mg/dL, the patient should
a. continue TLC dietary changes for a total of 3 months. b. follow the Dietary Approaches to Stop Hypertension (DASH) diet pattern. c. begin drug therapy with a bile acid sequestrant. d. begin drug therapy with statins.