A nurse is assessing a patient's understanding of their current health problems which in turn contributes to proper disease management. Which question by the nurse is most helpful?

"Have you been experiencing pain in your feet?"

"What were the results of your most recent A1C blood test?"

"Can you tell me why its important to test your blood glucose level at least daily?"

"Which pharmacy do you use when your prescription needs to be refilled?"

Answer and Explanation

The Correct Answer is C

A.   This question is specific to a potential complication of diabetes, but it does not directly assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.
B.   This question is about a specific laboratory result, but it does not assess the patient's understanding of the importance of self-monitoring blood glucose levels.
C.   This question assesses the patient's understanding of the importance of self-monitoring blood glucose levels, which is crucial for managing diabetes. By understanding the reasons behind this intervention, the patient is more likely to comply with the treatment plan and make informed decisions about their health.
D.   This question is about the logistics of medication management, but it does not assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.

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Correct Answer is A

Explanation

A. Angiotensin II receptor blockers (ARBs) are a class of medications used to treat high blood pressure. They work by blocking the effects of angiotensin II, a hormone that constricts blood vessels and causes the kidneys to retain sodium and water. This can lead to increased blood pressure and damage to the kidneys.

B. While ARBs do have a well-defined therapeutic window, this is not the primary reason why they are especially useful in older adults.
C. ARBs should be used with caution in patients with liver problems, as they can be metabolized by the liver.
D. ARBs are generally considered to be as effective as other antihypertensive medications, such as angiotensin-converting enzyme (ACE) inhibitors.

A. "Are you and your wife prepared to deal with this dysfunction over the long term?" B. "What impact has this dysfunction had on your ability to be intimate with your wife?" C. "How are you and your wife coping with your sexual dysfunction?" D. "What problems has your sexual dysfunction caused between you and your wife?"

Correct Answer is B

Explanation

A. This question focuses on future preparedness and may come off as presumptive or confrontational. It doesn't directly address the patient's personal feelings or experiences but rather implies an expectation about how they and their spouse will handle the situation over time. This might not encourage an open discussion about the patient's personal perception of their sexuality.
B. This question directly addresses how the sexual dysfunction affects the patient’s intimate relationship, which can provide insight into the patient's personal perception and emotional response to the problem. It allows the patient to discuss how their condition affects their intimate life and personal feelings, promoting a deeper understanding of their experience.
C. This question focuses on coping mechanisms and may shift the focus away from the patient's personal feelings to how both partners are managing the situation. While it can provide useful
information about coping strategies, it may not fully explore the patient’s individual perceptions and
emotional impact.

D. This question explores relational issues caused by the sexual dysfunction. It might elicit information about interpersonal conflicts or challenges but might not fully capture the patient’s personal feelings about their sexuality or how the dysfunction specifically impacts their self-perception and intimate experiences.

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A nurse is assessing a patient's understanding of their current health problems which in turn contributes to proper disease management. Which question by the nurse is most helpful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult diabetic patient is mildly hypertensive. The nurse prepares to educate the patient regarding angiotensin ll blocking agents. These drugs are especially useful in older adults because they:

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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