A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
a. self-monitoring of blood glucose.
b. using low doses of regular insulin.
c. lifestyle changes to lower blood glucose.
d. effects of oral hypoglycemic medications.
ANS: C
The patient's impaired fasting glucose indicates prediabetes, and the patient should be counseled about lifestyle changes to prevent the development of type 2 diabetes. The patient with prediabetes does not require insulin or oral hypoglycemics for glucose control and does not need to self-monitor blood glucose.
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The clinic nurse is returning phone calls. Which call should the nurse return first?
1. 22-year-old reporting that she has menstrual cramps and vomiting every month 2. 17-year-old asking if there is a problem with using one tampon for a whole day 3. 46-year-old mother of a teen wondering if her daughter should be on birth control 4. 34-year-old requesting information on douching after intercourse
After completing the assessment of a patient for light touch and pain, you record your findings of bilateral lower-extremity hypesthesia and hypalgesia, which indicate
a. absence of touch sensation and absence of sensation to pain. b. diminished sense of touch and pain sensitivity. c. increased sensitivity to touch and pain. d. tingling and burning sensations.
A patient with Huntington disease has just been admitted to a long-term care facility. The charge nurse is creating a care plan for this patient. Nutritional management for a patient with Huntington disease should be informed by what principle?
A) The patient is likely to have an increased appetite. B) The patient is likely to required enzyme supplements. C) The patient will likely require a clear liquid diet. D) The patient will benefit from a low-protein diet.
Maternity nurses often have to answer questions about the many, sometimes unusual, ways people have tried to make the birthing experience more comfortable. For instance, nurses should be aware that:
a. Music supplied by the support person has to be discouraged because it could dis-turb others or upset the hospital routine. b. Women in labor can benefit from sitting in a bathtub, but they must limit immer-sion to no longer than 15 minutes at a time. c. Effleurage is permissible, but counterpressure is almost always counterproductive. d. Electrodes attached to either side of the spine to provide high-intensity electrical impulses facilitate the release of endorphins.