The nurse impacts the trajectory of a patient's type 2 ...

[captainjonesify]

The nurse impacts the trajectory of a patient's type 2 insulin-dependent diabetes best by
 
  a. evaluating the patient's ability to admi-nister insulin appropriately.
  b. providing the patient with a written copy of the treatment plan.
  c. explaining to the patient the importance of serum glucose control.
  d. providing the patient with research-based nursing care.

Question 2

An older adult who injured her knee several years ago tells the nurse that she has been managing the resulting intermittent pain with a prescription for propoxyphene (Darvon). The nurse is con-cerned with this treatment plan, primarily because
 
  a. less expensive alternative analgesics are available.
  b. this long-term need for a narcotic warrants investigation.
  c. aspirin would likely be as effective in managing the pain.
  d. the knee should not still be causing pain for the patient.

[jazzlynnnnn]

Answer to Question 1

A
The illness trajectory can be modified by actions taken by the health care provider that directly affect the patient's ability/interest to adhere to the treatment plan prescribed. The other actions are important but do not directly affect the illness trajectory.

Answer to Question 2

B
The nurse needs to complete a full assessment to determine what type of pain the patient is expe-riencing and if a narcotic is the best alternative for the patient. Other medications may be more beneficial.

[captainjonesify]

Excellent

[tkempin]

TYSM