A 46-year-old male client who had a myocardial infarction (MI) 24-hours ago comes to the nurse's station fully dressed and wanting to go home. He tells the nurse that he is feeling much better at this time. Based on this behavior, which client problem should the nurse include in the plan of care?
Ineffective coping related to denial
Decisional conflict due to stress
Deficient knowledge of lifestyle changes
Anxiety related to treatment plan.
The Correct Answer is A
A. The client's desire to go home so soon after a significant medical event like an MI suggests a possible denial of the severity of his condition and an unwillingness to acknowledge the
need for further medical care and recovery time.
B. While decisional conflict due to stress could be a concern, the client's behavior does not directly indicate stress about making decisions, but rather a disregard for the gravity of his recent health event.
C. Deficient knowledge of lifestyle changes is likely an issue for someone who has just experienced an MI, but the immediate behavior of wanting to leave the hospital does not directly relate to a lack of knowledge about necessary lifestyle changes.
D. Anxiety related to the treatment plan could be present, but the client's behavior of wanting to leave the hospital suggests a coping mechanism of denial rather than anxiety about the treatment itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct area of auscultating for carotid bruit.
B. This is the area of auscultation for femoral artery bruit.
C. This is the brachial artery region.
D. This is the abdominal aorta
Correct Answer is C
Explanation
A. Yellow-tinged sputum is not uncommon in patients with pneumonia and while it should be monitored, it is not typically a sign of an adverse reaction to linezolid.
B. Nausea and headache may occur with many medications and are not specific to linezolid; these symptoms should be reported, but they are not the most critical.
C. Watery diarrhea could indicate a potentially serious condition known as Clostridium difficile- associated diarrhea, which is an important complication to report when a patient is on antibiotics like linezolid.
D. Increased fatigue can be associated with the client's underlying condition of pneumonia and while it should be assessed, it is not the most critical finding to report in relation to linezolid therapy.
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