A 67-year-old client presents to the clinic

A 67-year-old client presents to the clinic with concerns about headaches and feeling dizzy after beginning to take an antihypertensive medication one month prior. The client admits to falling three times in the past month due to dizziness upon standing. No injuries were reported related to the falls. The client reports blood pressure readings at home are “all over the place.” The written blood pressure log indicated measurements of 110/60, 185/100-, and 140/80-mm Hg, for example. A nurse reviews the medication prescription and notes the client was prescribed to take medication once per day in the morning. The client was instructed to reduce dietary sodium intake and begin an exercise regimen that includes walking at a brisk pace each day. The client reports frequently forgetting to take the medication or taking it before bed and again when waking in the morning. When further reviewing the medication prescription and concerns, the client states, “I don’t remember what they told me to do.” The nurse begins to develop a client teaching plan. Respond to the following questions and provide an evidence-based rationale. (The related steps of the Nursing Process and Clinical Judgment functions are listed after each below.) 1.Identify relevant information related to the client’s concerns. (RECOGNIZING CUES/ASSESSMENT) 2. Identify the client’s needs related to the new medication. (ANALYZE CUES/ ANALYSIS) 3. What is the immediate concern for the client? (ANALYZE CUES/ ANALYSIS) 4. Identify three priority topics the nurse should include in the teaching plan for this client? (PRIORITIZE HYPOTHESIS/ANALYZE) 5. Using the three priority topics, write three SMART outcomes for the client. (GENERATE SOLUTIONS/PLANNING) Scenario progression: You learn the client works night shift at the local manufacturing plant and relies on the cafeteria available for the employees to purchase their meals. 6. How will you modify the plan of care or teaching plan to ensure optimal client outcomes are achieved? (GENERATE SOLUTIONS/PLANNING) 7. How will you accurately document the teaching plan once provided to the client for managing their needs? (TAKE ACTION/IMPLEMENTATION) 8. Which interprofessional team member(s) will you anticipate the provider to include in the collaborative care for this client? (TAKE ACTION/IMPLEMENTATION) 9. How will you evaluate client understanding of the teaching provided? (EVALUATE OUTCOMES/EVALUATION) 10. How will you evaluate the long-term effectiveness of the teaching plan for the client? (EVALUATE OUTCOMES/EVALUATION) SCIENCE HEALTH SCIENCE NURSING MEDICAL OFFICE BILLER / CODER LPN1400B

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