The nurse recognizes the need for further teaching when the client makes which statement about lifestyle changes to reduce the development and progression of coronary artery disease?
1. "I will check my weight gain/loss regularly."
2. "I'll make sure to take my highblood pressure pills."
3. "I am going to a smoking cessation class."
4. "As long as I exercise, stress at my job will not bother me."
4
Rationale 1:Maintaining optimal weight is a statement that indicates the client does not need additional teaching.
Rationale 2:By taking their high blood pressure pills, the client is maintaining blood pressure within normal range. This statement does not indicate that the client needs further teaching.
Rationale 3:By attending a smoking cessation class, the client has identified a lifestyle change necessary for reducing the development and progression of coronary artery disease. This statement does not indicate that the client needs additional teaching.
Rationale 4: Lifestyle factors are associated with increased incidence of angina. Implementing such changes as quitting smoking, keeping weight at an optimum level, and continuing to treat hypertension are all positive changes. An exercise plan that is medically approved is also important, as is reducing stress levels as much as possible. Ignoring stress by merely exercising is not managing the underlying cause of the stress, only managing the symptoms it produces. The client should exercise and reduce stress and causes of it. This statement reflects that the client needs additional teaching.
Global Rationale: Lifestyle factors are associated with increased incidence of angina. Implementing such changes as quitting smoking, keeping weight at an optimum level, and continuing to treat hypertension are all positive changes. An exercise plan that is medically approved is also important, as is reducing stress levels as much as possible. Ignoring stress by merely exercising is not managing the underlying cause of the stress, only managing the symptoms it produces. The client should exercise and reduce stress and causes of it.
You might also like to view...
The nurse is assisting a client who lacks coordination between hand and inhalation, but who must inhale medications. It's understood that this client may benefit from the use of a(n):
a. nebulizer. c. extender device. b. Spinhaler. d. metered-dose inhaler.
The nurse is conferring with the nutritionist about the needs of a Native American. The nurse an-ticipates that the client will:
1. Follow a strict vegetarian diet 2. Avoid the use of alcohol and tobacco 3. Expect to avoid pork-related products 4. Follow a diet according to individual tribal beliefs
The nurse is concerned that a client prescribed octreotide (Sandostatin) is at risk for drug interactions because the client is currently prescribed which medications?
Standard Text: Select all that apply. 1. Antidiabetic agent 2. Beta blocker 3. Calcium channel blocker 4. Antidiarrheal 5. Antibiotics
The electronic health record (EHR) provides information to all members of the health care team on their patients. The nurse manager and other team members recognize the advantages of the EHR, which include
a. being handy for patients to carry with them. b. protecting patient privacy. c. being easier for patients to read. d. making data available for research and continuous performance improvement.