Summary Dyanamic Notes For Ms Ati

● Nurse is providing instructions to the client with DM2 and a new prescription for metformin. Which of the statements indicates an understanding? ○ “I should take this medication with a meal” ● Nurse is teaching a client with CKD and a new prescription of erythropoietin. Which statement indicates an understanding? ○ “I am taking this medication to increase my energy level” ■ The goal of erythropoietin is to increase the level of hematocrit in clients who have anemia. When the medication is effective, the client should have a decrease in fatigue & improvement in activity tolerance. ● Adverse effect of enalapril ○ Orthostatic hypotension → the nurse should identify that dilation of arteries and veins causes orthostatic hypotension ● A nurse is caring for a client who has hypothyroidism. Which manifestation should the nurse expect? ○ Constipation ■ A client w/hypothyroidism can experience constipation d/t a decrease in the client’s metabolism, resulting in slow motility of the GI tract. The nurse should instruct the client to increase fiber and fluid intake to reduce the risk for constipation. ● Charge nurse teaching new nurse about caring for a client with MRSA. Which statement by the new nurse indicates understanding of the teaching? ○ “I will leave assessment equipment in the room to use on this client” ■ MRSA should follow contact precautions ● Nurse is providing teaching to a client w/IBS (irritable bowel syndrome). Which instructions should the nurse include in teaching? ○ Consume at least 2L water daily to promote normal bowel function ○ Increase fiber intake to at least 30 g/day ■ Dietary fiber helps produce bulky, soft stools and establish a regular bowel pattern. ● Expected findings with hyperthyroidism: ○ Restlessness ○ Elevated T3 level ○ Decreased weight ■ Elevated BP could be indicative of at risk for thyroid storm ● For a thoracentesis, what intervention should be included in the plan of care? ○ Thoracentesis → procedure to remove air or fluids from the lungs ○ **Encourage client to take deep breaths after the procedure