While instructing a patient diagnosed with type 2 diabetes mellitus, the nurse reviews how the use of exogenous insulin might be indicated for the patient for which of the following?
1. regular aerobic exercise
2. switched to a different oral anti-diabetic medication
3. scheduled to have surgery
4. drinks alcohol on a regular basis
3
Rationale: Surgery may precipitate an increased demand for glucose in the body, which may require use of exogenous insulin to regulate the blood sugar. Aerobic exercise may necessitate an adjustment in diet and medications to maintain a normal blood sugar. Switching to another medication may achieve better glucose control. Inclusion of alcohol in the diet requires adjustment in caloric intake.
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A nurse is planning a presentation for psychiatric clients and their families on client rights. This would be an example of:
1. Maleficence. 2. Duty to warn. 3. Advocacy. 4. Competency.
A client has been prescribed lithium for mania. A therapeutic serum level for lithium would include which of the following?
A) 0.4 mEq/L B) 0.8 mEq/L C) 2.0 mEq/L D) 2.5 mEq/L
To prevent plagiocephaly, the nurse should teach parents to:
a. place infant prone for 30 to 60 minutes per day. b. buy a soft mattress. c. allow infant to nap in the car safety seat. d. have infant sleep with the parents.
The nurse must follow the principles of medical asepsis while making a patient's bed, including procedures for handling linens. Soiled linens should be:
a. placed on the floor. b. fanned in the air. c. held away from the uniform. d. placed at the end of the bed.