The nurse is developing a plan of care for an older patient with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this patient?

The nurse will call the patient weekly to monitor the patient's blood pressure and symptoms.

The patient will take up to 4 nitroglycerine tablets sublingually for chest pain.

The nurse will encourage the patient to walk thirty minutes every day.

The patient will record episodes of angina and self-management for one week.

Answer and Explanation

The Correct Answer is D

Choice A reason: While monitoring blood pressure and symptoms is important, it is not a self-management outcome.
Choice B reason: Taking up to 4 nitroglycerine tablets may be part of the treatment plan, but it is not an outcome.
Choice C reason: Encouraging daily exercise is good, but it does not address the management of chest pain on exertion.
Choice D reason: This is the correct choice. Recording episodes of angina and self-management strategies provides valuable information for adjusting treatment and empowering the patient.

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Correct Answer is B

Explanation

Choice A reason: Discussing the child's previous history of injury is important, but it does not address the immediate concern of pain management.

Choice B reason: Consulting with a practitioner to determine safe analgesia options is crucial for managing pain while also monitoring the child's variable consciousness levels.

Choice C reason: While it is true that analgesia can mask neurological symptoms, it is essential to manage pain effectively, and the healthcare team can monitor for changes in consciousness.

Choice D reason: Teaching the family about specific medications like benzodiazepines is not the most immediate concern and should be left to the practitioner's discretion based on the child's condition. Pain management and safety are the priorities.

A. Ask the client to choose which medication is needed for the pain. B. Document the client's report of pain in the electronic medical record. C. Compare the client's pain scale rating with the prescribed dosing. D. Determine which prescription will have the quickest onset of action.

Correct Answer is D

Explanation

Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.

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The nurse is developing a plan of care for an older patient with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this patient?

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