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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Limiting the use of mobility equipment is not recommended as it can lead to decreased mobility and increased joint stiffness.
Choice B reason: Massaging inflamed joints is not recommended as it can increase pain and inflammation.
Choice C reason: Substituting natural fruit juices for carbonated drinks is a healthy choice but does not directly address the management of gouty arthritis.
Choice D reason: This is the correct choice. Periodic liver function studies are important when taking medications like colchicine and indomethacin, which can affect liver function. Monitoring liver function helps ensure the safety of the medication regimen.
Correct Answer is B
Explanation
Choice A reason: Clubbed fingers are a sign of chronic hypoxia and may be seen in older children with cystic fibrosis, but they are not typically present at birth.
Choice B reason: This is the correct choice. Meconium ileus is a blockage of the intestines that occurs shortly after birth and is often the first sign of cystic fibrosis.
Choice C reason: A barrel chest is associated with chronic respiratory conditions and would not be present in a newborn.
Choice D reason: Steatorrheic stools, or fatty stools, may occur in cystic fibrosis but are not a primary indicator in a newborn.
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