A 55-year-old man newly diagnosed with hypertension returns to his physician’s office for a routine follow-up appointment after several months of treatment with Lopressor (metoprolol). During the nurse’s initial assessment the patient’s blood pressure (BP) is recorded as 180/90 mm Hg. The patient states he does not take his medication as prescribed. The best response by the nurse is which of the following? a) “Be certain to discuss your noncompliance with your medication regimen with the physician.” b) “Your hypertension must be treated with medications; you need to take your Lopressor every day.” c) “It is very important for you to take your medication as prescribed, or you could experience a stroke.” d) “The medication you were prescribed may cause sexual dysfunction; are you experiencing this side effect?”

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A 55-year-old man newly diagnosed with hypertension returns to his physician’s office for a routine follow-up appointment after several months of treatment with Lopressor (metoprolol). During the nurse’s initial assessment the patient’s blood pressure (BP) is recorded as 180/90 mm Hg. The patient states he does not take his medication as prescribed. The best response by the nurse is which of the following?

a) “Be certain to discuss your noncompliance with your medication regimen with the physician.”
b) “Your hypertension must be treated with medications; you need to take your Lopressor every day.”
c) “It is very important for you to take your medication as prescribed, or you could experience a stroke.”
d) “The medication you were prescribed may cause sexual dysfunction; are you experiencing this side effect?”

 
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A postoperative patient is being discharged home following minor surgery. The PACU nurse is reviewing discharge instructions with the patient and his or her spouse. What action by the nurse is appropriate? Select all that apply. a) Educate on activity limitations. b) Discuss wound care. c) Have the patient sign his or her advance directive form. d) Have the spouse review when to notify the physician. e) Provide information on health promotion topics.

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A postoperative patient is being discharged home following minor surgery. The PACU nurse is reviewing discharge instructions with the patient and his or her spouse. What action by the nurse is appropriate? Select all that apply.

a) Educate on activity limitations.
b) Discuss wound care.
c) Have the patient sign his or her advance directive form.
d) Have the spouse review when to notify the physician.
e) Provide information on health promotion topics.

 
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The nurse is caring for a female patient following a tonsillectomy and adenoidectomy. Two hours following the procedure, the patient begins to vomit large amounts of dark blood in frequent intervals and is tachycardic and febrile. After notifying the surgeon, the nurse will do which of the following? a) Prepare for a needle aspiration. b) Stay with the patient and monitor her closely. c) Prepare for a needle aspiration. d) Obtain a light, mirror, gauze, curved hemostats.

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The nurse is caring for a female patient following a tonsillectomy and adenoidectomy. Two hours following the procedure, the patient begins to vomit large amounts of dark blood in frequent intervals and is tachycardic and febrile. After notifying the surgeon, the nurse will do which of the following?

a) Prepare for a needle aspiration.
b) Stay with the patient and monitor her closely.
c) Prepare for a needle aspiration.
d) Obtain a light, mirror, gauze, curved hemostats.

 
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Which of the following teaching interventions should the nurse include in the plan of care for a patient with valvular heart disease who is experiencing pulmonary congestion? a) Teaching patients to take nitroglycerin if shortness of breath develops b) Teaching patients to report a weight gain of 3 pounds in 1 week c) Teaching patients to rest and sleep in a chair or sit in bed with head elevated d) Teaching patients to drink at least 2 L of fluid daily and monitor urine output

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Which of the following teaching interventions should the nurse include in the plan of care for a patient with valvular heart disease who is experiencing pulmonary congestion?

a) Teaching patients to take nitroglycerin if shortness of breath develops
b) Teaching patients to report a weight gain of 3 pounds in 1 week
c) Teaching patients to rest and sleep in a chair or sit in bed with head elevated
d) Teaching patients to drink at least 2 L of fluid daily and monitor urine output

 
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