Why should the nurse counsel an older patient with a history of occasional high blood glucose levels to stop smoking?
1. To prevent insulin resistance
2. To prevent the loss of additional weight
3. To reduce the risk of developing type 2 diabetes mellitus
4. To ensure that blood glucose levels will remain within normal limits
3
Rationale: Smoking does not cause insulin resistance. Smoking is one of five lifestyle factors that will reduce the risk of developing type 2 diabetes mellitus.
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A 2-year old boy has come to the clinic with his parents because of a reddened, irritated diaper rash that is spreading. His mother reports that this has happened once before and the perfumed detergent that they are using may be the cause
The best advice that the pediatric nurse can provide to the mother is: A) "Wash his bottom with water alone for the next 2–3 days, let the diaper area air dry, and return to the clinic if you see any skin breakdown or greenish discharge." B) "Wash his bottom with soap and water once a day for the next 2–3 days, let the diaper area air dry, and return to clinic with any concerns." C) "Wash his bottom with Epsom salts and water once a day for the next 2–3 days, let the diaper area dry, and return to the clinic if any blisters or vesicles appear on his bottom." D) "Wash his bottom with an astringent solution and water once a day for the next 2–3 days, let the diaper area dry, and return to clinic if you are still concerned."
Which is the priority nursing intervention for the family of a child who has been admitted to the hospital?
a. Begin discharge teaching. b. Identify and mobilize internal and external strengths. c. Identify ways in which the family could have prevented their child's hospitalization. d. Instruct the parents on normal growth and development.
Nurse 1: "The manager told me that you and I have to change work schedules to accommodate Jim. That means we will both have to work days and nights in the same week. There's nothing we can do about it."
Nurse 2: "Let's take a minute and look at the possible alternatives.". What is the best assessment of this situation? a. Nurse 1 is exhibiting reactive behavior, and Nurse 2 is being proactive. b. Nurse 1 is exhibiting a sense of empo-werment, and Nurse 2 is behaving code-pendently. c. Jim and the nurse manager have formed a coalition with the goal of dominating oth-er staff. d. The nurse manager is evidencing good self-esteem by daring to take an unpopular action that will expose criticism.
The health care provider performs a specimen collection by inserting a needle into the abdomen to collect fluid. Which term should the nurse use when documenting this procedure?
1. Paracentesis 2. Thoracentesis 3. Lumbar puncture 4. Venogram