A patient on antihypertensive medication has no insurance, three children, and reports feeling great and exercising daily. What should the nurse include in this patient's teaching plan to promote compliance?
a. Encourage increased rest periods.
b. Provide names of support groups.
c. Refer the patient for financial assistance.
d. Schedule an annual physical examination.
ANS: C
The nurse should refer the patient for financial assistance. If the patient cannot afford the medication, it will not be taken in spite of any teaching that is done. A. B. D. Rest, support groups, and annual physical examinations will not improve compliance with this patient's teaching plan.
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The nurse is orienting a new graduate nurse to the Labor and Birth unit. Which statement indicates that teaching has been effective? "When a client arrives in labor:
1. "A urine specimen is obtained by catheter to check for protein and ketones." 2. "She will be positioned supine to facilitate a normal blood pressure." 3. "Her prenatal record is reviewed for indications of domestic abuse." 4. "A vaginal exam is performed if delivery appears to be imminent."
To provide support and encouragement to the new mother, the nurse should:
a. Recount how she solved her own problems. b. Praise the mother's early attempts at infant care. c. Correct the new mother at every opportunity. d. Explain to the new mother that everything will be fine.
A client who is receiving metformin develops lactic acidosis. When planning the care for this client, which nursing diagnosis would the nurse most likely identify?
A) Ineffective Breathing Pattern B) Risk for Fluid Volume Deficit C) Acute Confusion D) Anxiety
The client is scheduled for a breast lump excision and sentinel node biopsy. What should the nurse know in planning care for the client with a negative biopsy report?
A) A lump excision is not necessary. B) A wide excision of lump will be performed. C) The lump and all axillary lymph nodes will be excised. D) The entire breast and all regional lymph nodes will be excised.