A medical?surgical nurse is implementing a plan of care for a hypertensive client. Which of the following is the most important information to consider?
1. Whether the client utilizes any complementary and alternative therapies
2. Whether the client has ever had symptoms from hypertension
3. When the client last saw the physician
4. The client's family history
Whether the client utilizes any complementary and alternative therapies
Rationale: While the client's family history is important in determining the risk factors for hypertension, once the diagnosis has been made and a plan of care is being established, it is more important to note whether the client utilizes any complementary therapies since they will often conflict or enhance other therapies. Taking the complementary and alternative therapies into account will help to establish a plan of care that the client can manage. The plan of care is not dependent upon the client having ever had symptoms from the "silent killer" hypertension; however, the client needs to be aware of what symptoms are urgent or emergent, and these must be addressed with the health care provider once the client is discharged. When the client last saw the health care provider has no bearing on the plan of care.
You might also like to view...
Chronic anxiety and stress contribute to ulcers. Which of the following effects of the sympathetic nervous system is most responsible for this effect?
A) Inhibition of the actions of Brunner glands B) Overstimulation of the oxyntic glands C) Suppression of cholecystokinin D) Inflammation of the parotid glands
A patient states that he feels terrific, but a blood test shows that he is HIV-positive. It is important for the nurse to discuss with him that HIV may remain dormant for several years. During this time, the patient
a. is not dangerous to anyone. b. experiences minor symptoms only. c. experiences decreased immunity. d. is contagious.
An older patient is prescribed a monoamine oxidase inhibitor (MAOI) medication. Which meal choice requires the nurse to intervene immediately?
1. Smoked salmon with salad and bleu cheese dressing 2. Grilled chicken salad on whole wheat with fresh fruit 3. Turkey sandwich with American cheese and coleslaw 4. Chicken salad on a croissant, carrot sticks, and fresh apple
A 74-year-old client is diagnosed with mild Alzheimer disease. He has no other noted health issues. When speaking with the nurse, he expresses concern regarding the progression of his disease. Which statement by the nurse is most appropriate?
A) As you have no other health issues, the progression is usually gradual. B) The medications stop the progression of the disease. C) We never know how fast Alzheimer disease will progress. D) Yes, progression is usually fairly fast, you might want to start making plans.