Which client teaching instructions are necessary for a pregnant client who is to undergo a glucose challenge test (GCT) as part of a routine pregnancy treatment plan?
a. Consume a low-fat diet for 48 hours prior to testing.
b. Fast for 12 hours prior to testing.
c. There are no dietary restrictions prior to testing.
d. Consume a consistent carbohydrate diet (60 g) prior to testing.
ANS: C
For a GCT, there are no dietary restrictions and fasting is not required. Testing is done from 24 to 28 weeks for the general pregnant population.
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The nurse makes a mistake when charting in the patient's record. To correct this mistake the nurse should
a. use correction fluid to cover the mistake and make the correct entry. b. blot out the error with black ink and make the correct entry. c. erase the error and write over it. d. cross out the error with a single line, then date, time, and sign the correction.
What diagnostic test is contraindicated in a patient exhibiting clinical manifestations of increased intracranial pressure?
A) CT scan B) Lumbar puncture C) MRI D) Venous Doppler studies
A resident who is terminally ill and his family are considering hospice. They ask the nurse for information about hospice. Which of the following would be information the nurse could correctly relay? (Select all that apply.)
a. Maintaining comfort as death approaches is the hospice philosophy. b. Hospice care may be provided at home or in a freestanding agency. c. Family members are encouraged to care for the individual. d. Hospice can be tailored to meet the individual's and the family's needs. e. The cost of hospice is more than the cost of hospital care. f. Respite care is available when the individual is cared for at home.
During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:
a. "Why do you keep asking about me?" b. "Nurses direct the interviews with patients." c. "Do not ask questions about my personal life." d. "The time we spend together is to discuss your concerns."