{"id":135890,"date":"2024-09-09T00:53:11","date_gmt":"2024-09-09T00:53:11","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=135890"},"modified":"2024-09-09T03:57:58","modified_gmt":"2024-09-09T03:57:58","slug":"the-nurse-is-developing-a-plan-of-care-for-an-older-client-with-hypertension-who-reports-chest-pain-on-exertion","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/09\/the-nurse-is-developing-a-plan-of-care-for-an-older-client-with-hypertension-who-reports-chest-pain-on-exertion\/","title":{"rendered":"The nurse is developing a plan of care for an older client with hypertension who reports chest pain on exertion"},"content":{"rendered":"\n

The nurse is developing a plan of care for an older client with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this client?<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

A.
The nurse will call the client weekly to monitor the client’s blood pressure and symptoms.<\/p>\n\n\n\n

B.
The nurse will encourage the client to walk thirty minutes every day.<\/p>\n\n\n\n

C.
The client will take up to 4 nitroglycerine tablets sublingually for chest pain.<\/p>\n\n\n\n

D.
The client will record episodes of angina and self-management for one week.<\/p>\n\n\n\n

The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is D: The client will record episodes of angina and self-management for one week<\/strong>.<\/p>\n\n\n\n

Explanation<\/h3>\n\n\n\n

For an older client with hypertension who reports chest pain on exertion, it is crucial to develop a plan of care that addresses both the management of hypertension and the symptoms of angina, which is likely associated with underlying coronary artery disease.<\/p>\n\n\n\n

Option A: The nurse will call the client weekly to monitor the client’s blood pressure and symptoms.<\/strong> While monitoring blood pressure and symptoms is essential, weekly phone calls are not as effective as direct, regular assessments or more interactive methods of monitoring. This option does not fully address the immediate concern of chest pain on exertion or encourage self-management by the client.<\/p>\n\n\n\n

Option B: The nurse will encourage the client to walk thirty minutes every day.<\/strong> Encouraging daily physical activity is important for managing hypertension and overall cardiovascular health. However, this recommendation should be tailored to the client’s current health status, and any exercise should be introduced gradually and monitored to avoid exacerbating chest pain. This option does not directly address the management of angina or the recording of symptoms.<\/p>\n\n\n\n

Option C: The client will take up to 4 nitroglycerine tablets sublingually for chest pain.<\/strong> While nitroglycerin is a common treatment for angina, the use of up to four tablets without guidance can be potentially harmful. The standard recommendation is to take one tablet every 5 minutes for up to three doses if pain persists, and then seek medical help. This option does not emphasize recording episodes or self-management, which are crucial for assessing and managing the client\u2019s condition effectively.<\/p>\n\n\n\n

Option D: The client will record episodes of angina and self-management for one week.<\/strong> Recording episodes of angina is a critical aspect of managing chest pain and understanding its triggers and patterns. This information helps in assessing the effectiveness of the treatment plan, identifying potential triggers, and making necessary adjustments. It also empowers the client to participate actively in their care and provides valuable information for healthcare providers to tailor treatments more effectively. This outcome directly addresses the management of symptoms and encourages proactive engagement by the client, which is essential for both immediate and long-term care.<\/p>\n\n\n\n

In summary, Option D is the most comprehensive and patient-centered approach, focusing on recording symptoms and self-management, which are essential for effective care planning and addressing the client’s reported chest pain on exertion.<\/p>\n","protected":false},"excerpt":{"rendered":"

The nurse is developing a plan of care for an older client with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this client? A.The nurse will call the client weekly to monitor the client’s blood pressure and symptoms. B.The nurse will encourage the client […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-135890","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/135890","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=135890"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/135890\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=135890"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=135890"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=135890"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}