A nurse is evaluating a client who has been diagnosed
A nurse is evaluating a client who has been diagnosed with hypertension. Nurses’ Notes Vital Signs Nurses’ Notes Day 1: Client presents to the clinic for evaluation of hypertension after being prescribed lifestyle changes and placed on propranolol 40 mg PO BID. Client education is completed regarding how to take medication, lifestyle changes of reducing sodium in diet and increasing activity, and signs and symptoms to report to the health care provider. Client states understanding of information provided. Day 30: Client presents to the clinic for follow-up evaluation of hypertension and medication/lifestyle compliance. The client states they are, “unsure why I have to continue taking medication when it feels better not taking it.” Is mostly compliant with being more aware of sodium in food and exercising. The client reports “sometimes” feeling dizzy, and has noticed a decrease in appetite. The nurse is assessing the client’s understanding of the teaching. For each client statement, indicate if the client understood the teaching or needs further teaching. Client Statement Understood Teaching Needs Further Teaching “I try to take my medication on an empty stomach every day.” “I must check my heart rate before taking the medication.” “Feeling dizzy is an expected side effect of taking propranolol.” “I can sometimes have nightmares, but this is common.” “If I have hypoglycemia, I will experience tachycardia and tremors.” “I can stop the medication once I am feelin
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