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.