The nurse is preparing to teach a patient about a newly ...

[brutforce]

The nurse is preparing to teach a patient about a newly prescribed drug therapy. What time is best for improving teaching effectiveness?
 
  a. During lunch so that the patient is not too hungry to learn
  b. After the patient wakes up from a nap and no visitors are present
  c. Right after the health care provider has told the patient that the health problem cannot be cured
  d. When the patient's spouse and three adult children are present so that the family can reinforce the teaching

Question 2

A patient with heart failure is prescribed oral captopril (Capoten) and carvedilol (Coreg). The heart rate after giving these drugs is decreased from 84 per minute to 68 per minute. What is the nurse's best action?
 
  a. Hold the next dose
  b. Immediately notify the prescriber
  c. Document the finding as the only action
  d. Schedule the captopril and carvedilol to be given at different times

[annierak]

Answer to Question 1

B
Teaching is most effective when the patient is not distracted or uncomfortable. Lunchtime is a distraction, and so is the mental state of a person who has just been told that he or she has an in-curable health problem (even if it can be controlled). Having four people present with the patient during the first teaching session can be more distracting than helpful.

Answer to Question 2

C
Beta blockers and ACE inhibitors are often used together to treat heart failure. Beta blockers block the effects of epinephrine on the heart resulting in deceased heart rate and force of contrac-tion, thus decreased blood pressure. The nurse should notify the prescriber if the heart rate is less than 60 per minute.

[brutforce]

TYSM

[AmberC1996]

Excellent