A patient bursts into tears when the primary care NP diagnoses ...

[MirandaLo]

A patient bursts into tears when the primary care NP diagnoses diabetes. The NP should:
 
  a. ask the patient about past experiences with anyone who has this diagnosis.
  b. reassure the patient that the medications and blood tests will become routine.
  c. call in a social worker to assist the patient to obtain equipment and supplies.
  d. refer the patient to a diabetes educator to provide teaching about the disease.

Question 2

A primary care NP prescribes a nitroglycerin transdermal patch, 0.4 mg/hour release, for a patient with chronic stable angina. The NP should teach the patient to:
 
  a. change the patch four times daily.
  b. use the patch as needed for angina pain.
  c. use two patches daily and change them every 12 hours.
  d. apply one patch daily in the morning and remove in 12 hours.

[chinwesucks]

Answer to Question 1

A
To help patients participate in their disease management, the NP must have an understanding of the patient's concerns and fears. The first step when the patient is obviously upset is to determine what the patient knows and fears about the disease.

Answer to Question 2

D
To avoid tolerance, the patient should remove the patch after 12 hours. The transdermal patch is not changed four times daily or used on a prn basis. The patch is applied once daily.

[MirandaLo]

Excellent

[T4T]

Gracias!