An elderly client is diagnosed with cardiomyopathy and a cardiac ...

[Chloeellawright]

An elderly client is diagnosed with cardiomyopathy and a cardiac dysrhythmia. The nurse would expect that which of the following would be indicated for this client?
 
  1. Nitrate medications
   2. Digoxin
   3. Beta blocker
   4. Encourage fluids

Question 2

A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regime. The intervention by the nurse that would most likely improve compliance is to:
 
  1. Give the child a computer-animated game that presents information on the management of cystic fibrosis.
   2. Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications.
   3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.
   4. Discuss with the child's parents the privileges that can be taken away, such as a cell phone, if compliance fails to improve.

[coyin]

Answer to Question 1

3. Beta blocker

Rationale:
Treatment for cardiomyopathy includes calcium channel blockers, beta blockers, and antiarrhythmics. Nitrates should be avoided because they increase blood pressure. Digoxin should be avoided because it increases the force of contractions. The client should be on a sodium and fluid restriction and not be encouraged to drink fluids..

Answer to Question 2

3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.

Rationale: Providing the adolescent with positive role models from his or her peer group is the intervention most likely to improve compliance. Interest in games might begin to wane at this age. Adult opinions, even from a physician, could be viewed negatively and challenged. Threatening punishment could further incite rebellion.

[Chloeellawright]

Gracias!

[bassamabas]

Excellent