A patient asks the nurse, "What is blood pressure?" The nurse would most appropriately respond:
1. "A measurement that should always be 120/80 unless complications are present."
2. "The amount of pressure exerted on your veins by the blood."
3. "A measurement that takes into consideration the amount of blood that your heart is pumping and the size of the vessel diameter the heart must pump against."
4. "A complex measurement that should only be discussed with your health care provider."
3
Rationale 1: This is not an accurate statement.
Rationale 2: This is not the best response.
Rationale 3: This is understandable to the patient as well as accurate.
Rationale 4: This is not an accurate response.
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The staff development instructor is preparing a presentation on the Cultural Care triad. What information should the instructor include in this presentation? Standard Text: Select all that apply
1. The triad consists of the nurse, patient, and direct caregiver. 2. Based on recent statistics, there is a demographic parity in this triad. 3. Based on recent statistics, there is demographic disparity in this triad. 4. The number of patients over the age of 100 is the lowest that it has ever been. 5. The registered nurse is a white female between the ages of 40 and 55, married with no children.
A client is being discharged on a tricyclic antidepressant (TCA). The nurse should include which of the following in the discharge teaching?
A) Limit the amount of tyramine in the diet. B) Avoid consuming alcohol. C) Stop taking the medication when feeling better. D) Continue a sodium-restricted diet.
A patient with diabetes develops ventricular tachycardia and is in the hospital for evaluation of this condition. The nurse reviews the history and learns that the patient takes mexiletine [Mexitil] for pain caused by peripheral neuropathy
What should the nurse do? a. Discuss common side effects associated with taking mexiletine with cardiac agents. b. Understand that this drug will help with both peripheral neuropathy and dysrhyth-mias. c. Notify the provider to request that another drug be used for peripheral neuropathy pain. d. Request an order for renal function and hepatic function tests.
Which of the following can the nurse do to support a client with diabetes who desires to take Communion but has to abstain from food and drink before doing so?
1. Suggest that since the client is hospitalized, eating and drinking will not affect the Communion. 2. Provide the client with breakfast and morning medication and encourage the client to eat and take Communion some other time. 3. Find out when the hospital clergy will be distributing Communion and adjust the client's medications and breakfast accordingly. 4. Contact the physician to suggest an alternative form of nutrition since the client is refusing to eat or drink.