A client is being admitted to the nursing unit with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). The nurse understands that compared with the care of DKA clients, the care of HHNK clients differs in that
a. assessments must be constant.
b. insulin is usually administered at a lower rate.
c. parenteral hyperalimentation will be needed.
d. treatment for dehydration will not be needed.
B
In clients with HHNK, insulin is given by infusion pump but usually at lower dosages than used in DKA clients because the HHNK client is producing some insulin. In both conditions, assess-ments must be frequent because the client is critically ill. Hyperalimentation (TPN) is not part of the care for either complication. In HHNK, dehydration is actually worse than in DKA.
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Riverdale has a small budget for community health programs aimed specifically toward its African American population. Nurse G advocates free blood pressure screening in supermarkets and shopping malls in this town because:
A) Many causes of morbidity and mortality among black Americans cannot be effectively controlled through lifestyle modifications B) Black Americans have a higher incidence of cancer and diabetes than white Americans C) Hypertension and heart disease occur at a higher rate in the black population than in the white population D) Black persons experience a heightened nocturnal response that lowers blood pressure to dangerous lows during sleep
Which is true about a research hypothesis?
a. It defines the various research variables and describes how they will be measured. b. It explains the relationship of the research purpose to theory development. c. It includes the research problem, purpose, and research questions. d. It links the research problem statement to the study design and data analysis.
When developing community health programs target to adult men, which of the following would the nurse need to integrate into the plan?
A) Improved quality of education programs available for men B) Increased access of health services by men as compared to women C) Limited male-gender specific research D) Increased awareness of men's health issues
The client is scheduled to have a colonoscopy tomorrow, during which a camera is inserted into the rectum to visualize the lower bowel
The nurse asks the client if he has any questions and he says, "No, the doctor explained the procedure and I signed the consent form. It sounds easy enough—all I have to do is stand in front of a machine for 1 minute and I'm all done." Which is the appropriate response? A) "You've confused the colonoscopy with something else." B) "You should likely not have signed that consent form." C) "I doubt if this is how your doctor explained the procedure." D) "This doesn't sound like the procedure for a colonoscopy. Let me ask the team leader to discuss this procedure with you."