A patient is in the clinic after a week of skiing in the mountains. He reports that his prescribed medication for a chronic condition does not seem to be working
The nurse will inform the patient that environmental factors can render some drugs ineffective. The nurse will likely discuss which of the following topics with the patient?
A) High altitude and its effect on the body
B) Moisture in the air and increased drug clearance
C) Cloudy weather and sun exposure
D) Cold weather and low drug absorption
A
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The nurse assesses the client's thinking to determine if it is concrete or abstract by:
1. Giving the client a familiar proverb to interpret. 2. Asking the client to subtract nines backwards from 100. 3. Giving the client five objects to recall in five minutes' time. 4. Asking the client to draw either a circle or a square.
An older adult who has osteoporosis receives a prescription for teriparatide (Forteo). Which instruction should the nurse include in patient teaching?
a. Use with a bisphosphonate medication. b. Is available for oral or intravenous use. c. Take this medication for up to 2 years. d. Consume up to 600 mg of calcium daily.
The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. The client, who has different beliefs about food, has not been able to achieve this goal. Which action by the nurse is appropriate?
A) Extend the time frame and give the client a longer period to achieve the goal. B) Select a different goal. C) Make sure that the client understands the importance of the goal. D) Modify the plan of care to be consistent with the client's beliefs regarding food.
A parent reports that her nine-year-old son experiences nocturnal bed-wetting several times each month. The parent wants to know if this problem will cure itself. Which is the most appropriate response by the nurse?
1. "This problem responds only to treatment with family therapy." 2. "Unless you consider using medications, the problem will continue." 3. "Most children stop wetting the bed at night by the time they reach adolescence." 4. "Most cases of enuresis are a result of organic causes and require medical treatment."