Mr. Perez had had abdominal surgery. He was discharged with medications and instructions to change the wet dressings in the wound to dry dressings three times a day. The RN gave the dismissal instructions in a hurry because the hospital needed the bed for a new patient. When the RN asked Mr. & Mrs. Perez, “Do you know what to do when you get home?,” they both nodded yes. Mr. & Mrs. Perez spoke limited English. After a few days, Mrs. Perez contacted the nurse advice line to ask how many days she had to wait before she should replace the white dressings in the wound. With further questioning, the nurse realized Mrs. Perez was taking the gauzes out of the wound, then rinsing them at the sink and putting them back in the wound. The patient was readmitted for infection and to repeat the procedure. 1. Identify What steps should be taken to improve patient education for wound care?
2. Explain how body language might indicate a patient or family member may not fully understand compliance with their medical care?
3. Discuss What can be done to prevent this from happening?

Anurse is caring for a client who has nicotine use disorder and asks about taking varenicline. the nurse should identify that which of the following conditions is a contraindication for this medication? a. rheumatoid arthritis b. copd c. anorexia nervosa d. major depressive disorder

Anurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. which of the following adverse effects of this medication should the nurse include in the teaching? a. hypotension b. bradycardia c. hyperglycemia d. leukopenia

Mr smith a 52 year old patient, is admitted to the coronary care unit with the diagnosis of acute inferior myocardial infarction. the patient has a history of smoking two packs of cigarettes for 35 years, and he drinks a six pack of beer on weekend nights, but does not drink the rest of the week. he is the sole financial support for his family. he is a consultant for a company and is out of town during the week days. mr smith has gained 20 pounds. he is 5 foot, 6 inches, weighing 200 pounds. his diet consists mostly of fast foods. he rarely exercise. his wife care for their three teenage children. the eldest son, 17 years of age, totaled the family car when drinking and driving 2 days ago and he is in the local children’s hospital in the intensive care unit in critical condition. mr smith developed chest pains and slumped over in his chair during an argument with his wife about their teenage daughter, who is 15 years of age and wanted to get birth control pills. the wife is in the waiting room while the nurses settle mr smith into his room. the youngest son, 13 years of age, is at a friends house. the teenage daughter is staying at the bedside of the criticall i’ll eldest son. the wife blames her eldest son for her husband’s heart attack and told the emergency department nurse that she does not care to see her son i’ll. a. what maladaptive response to stress may have contributed to mr smith’s development of an illness b. based on the case study, what family assessment data may be used to determine coping strategies being currently used by the family. c. what nursing interventions should be used to promote effective coping for the patient and his family?