A patient who has stable angina pectoris is given nitroglycerin to use as needed. In addition to pharmacotherapy, the nurse will give the patient which instruction?
a. Avoid extremes in weather.
b. Begin a rigorous exercise program.
c. Drink glass of red wine daily.
d. Seek medical care at first sign of pain.
ANS: A
Avoiding extreme weather conditions is important to help prevent anginal attacks. Patients should be instructed to avoid strenuous exercise; avoid alcohol, which can enhance hypotensive effects of nitrates; and use nitroglycerin at the first sign of pain.
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The nurse is reviewing with a 78-year-old client the discharge instructions for administration of insulin. In order to adjust to the normal changes experienced with aging, the nurse incorporates which activity into the teaching plan?
A) using tools that repeat the information until the information is understood B) giving written materials to compensate for short-term memory losses C) providing instruction to relatives so that the client will not need to learn everything D) considering holding sessions for longer periods than usual so the client can learn
What phase of the nursing process compares the client's current health status with desired outcomes to determine whether the plan of care is appropriate or needs revision?
1. Implementation 2. Evaluation 3. Planning 4. Assessment
In terms of gross motor development, what would the nurse expect a 5-month-old infant to do (select all that apply)?
a. Roll from abdomen to back. b. Put feet in mouth when supine. c. Roll from back to abdomen. d. Sit erect without support. e. Move from prone to sitting position.
MC Nursing instructions to a client using relaxation techniques for pain control should include the following information after telling him or her to breathe in and out slowly
A. Inhale deeply and hold your breath. B. Tense the painful area. C. Completely relax the painful area. D. Find a point of tension in your body.