An adult male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead. What should be the nurse's first response?
A.
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An adult male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead. What should be the nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you. - Answer>>> A. "It is important that you continue your medication while learning to meditate."
(The prolonged practice of meditation may lead to reduced need for antihypertensive medications. However, the medications must be continued (A) while the physiologic response to meditation is monitored. (B) is not as important as continuing the medication. The HCP should be informed, but permission is not required to mediate (C). Although, it is true that the complimentary therapy might be effective (D), it is essential that the client continue with antihypertensive mediations until the effect of mediation can be measured.)
The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 mL/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10% dextrose and water at 54 mL/hour.
D. Obtain a stat blood glucose level and notify the HCP. - Answer>>> C. Infuse 10% dextrose and water at 54 mL/hour.
(TPN is discontinued gradually to allow the client to adjust decreased levels of glucose. Administering 10% dextrose in water at the prescribed rate (C) will keep the client from experiencing hypoglycemia until the next TPN solution is available. The client could experience a hypoglycemic reaction if the current level of glucose (A) is not maintained or if the TPN is discontinued abruptly (B). There is no reason to obtain a stat blood-glucose level (D) and the HCP cannot do anything about this situation.)
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