The client is noncompliant with taking medications to prevent malaria prior to an overseas business trip. What will the best assessment by the nurse reveal?
1. The taste of the various tablets was really too offensive to the client.
2. The medication dosing was too frequent for the client to tolerate.
3. The cost of the medications was too high for the client's budget.
4. The side effects of vomiting and diarrhea were too uncomfortable.
Correct Answer: 4
Rationale 1: The medication is not coated, but the taste is not a significant factor.
Rationale 2: Usually the dosing is once weekly or once daily; it is not too frequent for a client to tolerate.
Rationale 3: The cost of the medication is not a factor; generic forms are available.
Rationale 4: Side effects, such as vomiting and diarrhea, can be severe after taking the medication.
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A female patient with obesity will soon begin treatment with orlistat. The nurse should teach the patient that
A) there will be fat present in her stools. B) her appetite will decline over the next 48 hours. C) she will have to increase her fiber intake. D) she will need to temporarily eliminate fats from her diet.
The nurse assesses a patient who has a diagnosis of Cushing syndrome. Which set of findings should the nurse follow up immediately?
1. Serum potassium 2.5 and blood pressure 150/90 2. Serum sodium 145 mEq/L and reports of muscle weakness 3. Serum calcium 11 mg/dL and reports of feelings of depression 4. Serum phosphorus 3 mg/dL and hirsutism
The nurse is preparing to assess a patient's cognitive function. What should the nurse include in this assessment?
1. ability to smell items placed under the nose while eyes are closed 2. orientation to time, place, and person, and ability to recall recent and past events 3. ability to walk with a smooth, steady gait 4. level of consciousness
A client at 30 weeks gestation tells the nurse, "I have had low blood pressure all my life, and now it is 136/74. What's wrong with me?" The nurse replies:
a. "A woman's blood pressure usually drops several points during pregnancy, but yours hasn't." b. "It is normal for the heart to have to work a little harder to supply both you and the baby with enough blood." c. "Yes, this is a significant change from your baseline, and I think you need to see the obstetrician right away." d. "If you spend more time lying down, I think your blood pressure should return to normal in a few days."