The nurse is assessing an older adult in the free clinic. The ...

[audie]

The nurse is assessing an older adult in the free clinic. The nurse notes that the client's cholesterol level is higher than the target and has increased since the client's last visit.
 
  After determining that the client has not changed dietary and exercise habits, the nurse concludes that the client: 1. May be rationing medications.
   2. Eating a lot of eggs.
   3. Needs more exercise.
   4. May be experiencing high triglycerides.

Question 2

The nurse is preparing to discharge a client recovering from a pulmonary embolism. Which of the following should be included the instructions for this client?
 
  1. Resume normal activity level
   2. Limit the use of over-the-counter medications
   3. Symptoms of recurrence
   4. Diet to include green leafy vegetables

[vickybb89]

Answer to Question 1

1. May be rationing medications.

Rationale:
Rationing care is one method of reducing medical costs. Many older adults cannot afford the co-pays on their medications, so they reduce their dosages to defray the costs. The nurse should be aware of this practice and assist the client to obtain the needed medications. The client has already stated that diet and exercise have not been changed. Triglycerides and cholesterol are different entities.

Answer to Question 2

3. Symptoms of recurrence

Rationale:
The client being discharged after treatment for a pulmonary embolism needs to be instructed in anticoagulant therapy, avoiding green leafy vegetables because of vitamin K, adhering to the physician's prescribed activity level, and avoiding all over-the-counter medications. The nurse should instruct the client in symptoms of bleeding or recurrence of a pulmonary embolism.

[audie]

Excellent

[nyrave]

TYSM