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Question 27Type: MCMAA patient’s blood pressure continues to be elevated even though the patient was prescribed an ACE inhibitor for several weeks. What are appropriate nursing interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.1. Ask if the patient is taking the prescribed medication.2. Suggest to the physician that a different medication be prescribed.3. Schedule another blood pressure check in a week.4. Realize that the patient’s anxiety over the diagnosis is affecting treatment.5. Ask if the patient is experiencing side effects from the medication.Correct Answer: 1,5Rationale 1: Noncompliance, or failure to follow the identified treatment plan, is a continuing risk for patients with chronic diseases.Rationale 2: Further assessment is indicated prior to this intervention.Rationale 3: The nurse should complete further assessment today.Rationale 4: There is no evidence that the patient is anxious.Rationale 5: The patient may stop taking the medication or reduce the dose because of adverse effects.
Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Pharmacological and Parenteral TherapiesNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 35-2Question 28Type: MCMADuring the abdominal assessment of an elderly patient, the nurse palpates a mass in the mid-abdomen. What actions should the nurse take?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.Global Rationale: Cognitive Level: ApplyingClient Need: Physiological Integrity