A nurse is caring for a client with a pre-existing cardiovascular disease and atrial fibrillation. What type of stroke is this client at increased risk to have?

Choice A reason:

Responding with "This hospital might use a different manufacturer, so you must take the medication" dismisses the client’s concern and does not verify if there has been an error in medication dispensing. It’s important for nurses to validate patient concerns rather than making assumptions about the situation.

Choice B reason:

Stating "This is the medication prescribed by your provider" assumes correctness without verifying the client's concern. Although this reassures the patient of prescription accuracy, it fails to address the immediate discrepancy noted by the client, potentially overlooking a mistake.

Choice C reason:

Asking "What does your usual pill look like?" involves the client in the medication verification process, validating their observation and ensuring that the medication is correct. This response demonstrates respect for the client's knowledge and enhances safety by cross-checking details before administration.

Choice D reason:

Assuming "This pill is probably from a different lot number than yours at home" could be misleading and fails to confirm the medication’s accuracy. It’s important to thoroughly investigate the client’s concern rather than making presumptions about manufacturing details.

Choice A reason: Keeping the client's skin moist is incorrect because it can increase the risk of skin breakdown and pressure ulcers. The skin should be kept clean and dry to maintain its integrity and prevent complications.

Choice B reason: While assessing the client's skin for redness is an important part of regular skin assessments, it alone does not encompass a proactive approach to preventing pressure ulcers. Continuous monitoring without active intervention is insufficient for comprehensive care.

Choice C reason: This is the correct answer. Repositioning the client every 2 hours is a standard practice to prevent pressure ulcers by relieving pressure on vulnerable areas of the skin. Regular repositioning helps to maintain circulation and prevent skin breakdown in clients confined to bed.

Choice D reason: Massaging the client's red bony prominences is incorrect because it can cause additional damage to already compromised skin areas. Gentle handling and repositioning are more appropriate to manage and prevent skin issues in bed-confined clients.