The nurse has identified the nursing diagnosis of ineffective ...

[ts19998]

The nurse has identified the nursing diagnosis of ineffective coping for a client with severe premenstrual syndrome. Which of the following should be included in this client's plan of care?
 
  1. Encourage exercise and relaxation techniques
   2. Suggest 4 ounces of wine each day
   3. Instruct to avoid contraception during menstruation if engaging in sexual intercourse
   4. Encourage frequent rest periods

Question 2

The nurse is conducting a teaching session at a school fair about flu shots. Parents ask the nurse if there is a type of person who is at risk for complications from influenza.
 
  Which of the following clients is most at risk for these complications? 1. A 3-year-old with cystic fibrosis
   2. A 20-year-old type 1 diabetic
   3. A 65-year-old woman
   4. A 50-year-old man

[FergA]

Answer to Question 1

1. Encourage exercise and relaxation techniques

Rationale:
Interventions to aid with ineffective coping for a client with severe premenstrual syndrome include encouraging exercise and relaxation techniques and avoiding alcohol intake. The client should not be encouraged to have 4 ounces of wine each day. The client should be instructed to use contraception if engaging in sexual intercourse during menstruation since ovulation and pregnancy can occur. Frequent rest periods would be beneficial for a client with dysfunctional uterine bleeding.

Answer to Question 2

1. A 3-year-old with cystic fibrosis

Rationale:
The 3-year-old is most at risk because of age and because of the chronic disease that already has a serious respiratory component. The 20-year-old diabetic is also at risk, but not as high as the small child. The adults are coming into the age where there is risk and they should receive the vaccine, but their risks are not as great as the other two. Gender has no bearing on susceptibility to influenza.