Which of these home health clients is least suited for telehealth services?
1. A 63-year-old man with a large pressure ulcer who requires daily wound assessments and dressing
2. A 54-year-old client with congestive heart failure who is developing new onset chest pain
3. A 77-year-old client who requires glucose monitoring and daily foot ulcer assessment
4. A 49-year-old woman who is pregnant for the first time and requires fetal heart rate monitoring
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Rationale: The client least suited for telehealth services is the one with congestive heart failure and developing chest pain. Clients with such emergent problems should not be monitored and treated electronically. However, stable clients who must be watched closely are potential candidates, such as the older woman pregnant for the first time, the client with a large pressure ulcer, and the glucose monitoring client.
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A 75-year-old male patient was admitted to the unit with angina. He was started on nadolol (Corgard). The patient asks why he is taking this medication because he does not have high blood pressure. What is the nurse's best response?
A) "Some beta-blockers have been approved as antianginal agents." B) "This medication will prevent blood pressure problems later on." C) "This drug will prevent you from developing an arrhythmia." D) "This medication will reduce benign prostatic hypertrophy (BPH) as well as treat heart failure."
A community health nurse is caring for a patient whose multiple health problems include chronic pancreatitis
During the most recent visit, the nurse notes that the patient is experiencing severe abdominal pain and has vomited 3 times in the past several hours. What is the nurse's most appropriate action? A) Administer a PRN dose of pancreatic enzymes as ordered. B) Teach the patient about the importance of abstaining from alcohol. C) Arrange for the patient to be transported to the hospital. D) Insert an NG tube, if available, and stay with the patient.
The 36-year-old client who has a suspicious mammogram says that her mother died of bone cancer when she was 40 years old. Which is the most important question for the nurse to ask this client next?
A. "Have any other members of your family had bone cancer?" B. "Did your mother ever have any other type of cancer?" C. "How old were you when you started your periods?" D. "Did your mother have regular mammograms?"
Opioid analgesics are effective pain management tools for many clients. A significant demographic within your practice are older adults who suffer from chronic pain. What impact does their age have on their initial dosing?
a) Increased dose b) No impact at all c) Cannot use opioid analgesics to treat older adults d) Reduced dose