A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regimen. The intervention by the nurse that would most likely improve compliance would be to:
1. Give the child a computer-animated game that presents information on the management of cystic fibrosis.
2. Set up a meeting with some older teens who have cystic fibrosis and have been managing their disease effectively.
3. Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications.
4. Discuss with the child's parents that privileges, such as a cell phone, can be taken away if compliance fails to improve.
2
Rationale 1: Interest in games might begin to wane at this age.
Rationale 2: Providing an adolescent with positive role models who are in her peer group is the intervention most likely to improve compliance.
Rationale 3: Adult opinions, even from a physician, could be viewed negatively and challenged.
Rationale 4: Threatening punishment could further incite rebellion.
Global Rationale:
You might also like to view...
For an elderly client who is experiencing chronic nausea and weight loss, which laboratory result would the nurse recognize as being most consistent with a diagnosis of Imbalanced Nutrition: Less Than Body Requirements?
a. Serum glucose of 78 mg/dL b. Serum albumin of 3.2 g/dL c. Creatinine of 1.0 mg/dL d. Potassium of 4.1 g/dL
In planning a program to reduce teen pregnancy rates, the nurse uses an evidence-based approach
The nurse learns that more research is needed for which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Teen pregnancy rate in the United States 2. Use of birth control by adolescents 3. Prevention of sexually transmitted infections 4. Long-active, reversible contraception is highly effective for teens 5. Intrauterine devices are safe and effective when used by adolescents
During an assessment of an older adult patient, the nurse observes a red rash on the palms of the hands and the soles of the feet. What should the nurse do next?
a. Notify the charge nurse. b. Float the patient's heels on a pillow. c. Apply a prescribed emollient. d. Reposition the patient on the left side.
A patient in the hospital has an in-dwelling urinary catheter, and the nurse is instructing the nursing student in the appropriate care to provide. Which one of the following does the nurse teach the student to do?
a. Empty the drainage bag at least every eight hours. b. Cleanse up the length of the catheter to the perineum. c. Use sterile technique to obtain a specimen for culture and sensitivity. d. Place the drainage bag on the patient's lap while transporting the patient to testing.