The nurse is aware that health care resources are declining and ...

[cherise1989]

The nurse is aware that health care resources are declining and costs for health care are increasing. An older adult asks the nurse why it has become so difficult to obtain needed care and services. The best response by the nurse is:
 
  1. There are plenty of nurses but not enough doctors..
   2. There is increased cost due to the practice of defensive medicine..
   3. There is a decrease in the number of adults needing care..
   4. There are not enough medications produced for those who need them..

Question 2

The nurse has instructed a client recovering from a pulmonary embolism on long-term anticoagulant therapy. Which of the following would indicate that instruction has been effective?
 
  1. The client states the need to eat a well-balanced diet with green salads.
   2. The client states the need to use a soft toothbrush, electric razor, and avoid injuries.
   3. The client states that bruising is normal.
   4. The client states that minor bloody sputum is to be expected.

[yahahah24021]

Answer to Question 1

2. There is increased cost due to the practice of defensive medicine..

Rationale:
Services are reduced because of increasing costs and needs. One reason for increased costs is the practice of defensive medicine because of the risks of malpractice litigation. There is an increasing shortage of nurses and physicians. Over the next decade, there will be an increasing number of older adults needing medical care. The cost of supplies and medication, not the amount available, is the reason for decreased services.

Answer to Question 2

2. Client states the need to use a soft toothbrush, electric razor, and avoid injuries.

Rationale:
Instruction on anticoagulant therapy should include the need to avoid injury, use a soft toothbrush, and use an electric razor. The client should be instructed to obtain a Medic-Alert bracelet that identifies anticoagulant therapy. The client should avoid green salads because of the vitamin K content. The client who states that bruising is normal and bloody sputum is expected is in need of additional instruction on anticoagulant therapy.