The nurse is developing a plan of care for an older patient with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this patient?

The nurse will call the patient weekly to monitor the patient's blood pressure and symptoms.

The patient will take up to 4 nitroglycerine tablets sublingually for chest pain.

The nurse will encourage the patient to walk thirty minutes every day.

The patient will record episodes of angina and self-management for one week.

Answer and Explanation

The Correct Answer is D

Choice A reason: While monitoring blood pressure and symptoms is important, it is not a self-management outcome.
Choice B reason: Taking up to 4 nitroglycerine tablets may be part of the treatment plan, but it is not an outcome.
Choice C reason: Encouraging daily exercise is good, but it does not address the management of chest pain on exertion.
Choice D reason: This is the correct choice. Recording episodes of angina and self-management strategies provides valuable information for adjusting treatment and empowering the patient.

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Correct Answer is C

Explanation

Choice A reason: Applying a warm, moist pack is not the most appropriate action as it may increase swelling and does not address the underlying cause of the edema.

Choice B reason: While it is important to report significant changes to the healthcare provider, mild edema post-surgery can be expected and managed with elevation.

Choice C reason: Elevating the legs on pillows can help reduce edema by promoting venous return and decreasing swelling.

Choice D reason: Encouraging movement of the toes is beneficial for circulation and preventing stiffness, but it is not the primary intervention for edema. Elevation is more effective in this scenario.

A. "Does the child complain of headaches?" B. "How much candy and sweets does your child consume daily?" C. "How much exercise does the child get?" D. "Has the child experienced nocturia or bedwetting?"

Correct Answer is D

Explanation

Choice A reason: While headaches can be a symptom of high blood sugar, they are not as specific as other symptoms for diabetes.
Choice B reason: Asking about candy and sweets consumption is less relevant as type 1 DM is not caused by diet.
Choice C reason: Exercise is important for overall health but is not a diagnostic indicator of type 1 DM.
Choice D reason: This is the correct choice. Nocturia and bedwetting are common symptoms of type 1 DM due to excess urination caused by high blood sugar levels.

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The nurse is developing a plan of care for an older patient with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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