K.W. states her diet is mostly fast foods, and the foods cooked at home are high in starch and
fat. She says because of her work schedule, mealtimes often vary from day to day.
What is
CHO (carbohydrate) counting, and why would this method work well for K.W.?
In CHO counting, patients are taught to count the number of CHO servings or exchanges they are
about to consume and determine their insulin dose accordingly based on a precalculated scale. The
insulin coverage is based on interrelated factors such as previous insulin requirements, degree of
insulin resistance, and body weight. CHO counting would be beneficial for K.W. because it would
allow her more flexibility in meal planning while providing good glycemic control.
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Web-based tools can provide benefits of an alternative method for obtaining patient information from diverse information systems. Which of the following is accurate regarding recent advances toward interoperability?
1. The framework has been built and is in place. 2. National priorities will be set within the next five years. 3. Data exchange standards need to be developed. 4. Interoperability of electronic health data will be costly.
A nurse who is practicing in an intensive care unit considers continuing education an important aspect of being a professional nurse because:
1. It is a good way to relax away from patient care. 2. New diseases are discovered every day. 3. Research and new technology demand that the nurse stay current. 4. Most states require it to maintain licensure.
A nurse is training for a new job at a community clinic after moving to Central California, an area rich in agriculture and migrant workers
The nurse asks about specific social and health issues that the migrant worker population faces and the nurse supervisor replies: Select all that apply. A. They have difficulty establishing residency in a single location, making them ineligible for government benefits. B. Most of them lack access to workers compensation or disability insurance. C. Frequent travel and location changes make it difficult for them to establish continuity of care with a single provider. D. Illegal immigration status is often a problem. E. Language is often a barrier.
A patient already taking a sulfonylurea has been prescribed fluconazole. For which effect of this drug combination would the nurse monitor the patient?
1. Allergy 2. Hyperkalemia 3. Hypoglycemia 4. Bleeding