The nurse is teaching a patient with newly diagnosed type 1 diabetes about the required diet for managing the disorder. Which information should the nurse include?
1. "Do not consume alcoholic beverages."
2. "Restrict the carbohydrates in your diet."
3. "Eat whenever you feel hungry."
4. "Select carbohydrates such as whole grains or legumes."
4
Rationale 1: Moderate alcohol consumption is permitted, within the dietary prescription.
Rationale 2: Restricting carbohydrates to less than 130 grams per day is not recommended.
Rationale 3: Maintaining a normal weight is important to the management of diabetes; eating whenever hungry is not consistent with the diabetic food prescription.
Rationale 4: Complex carbohydrates such as whole grains, legumes, fruits, and those with low glycemic indices will limit spikes in blood glucose values.
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A newly admitted patient with schizophrenia approaches the unit nurse and says, "The voices are bothering me. They are yelling and telling me stuff. They are really bad.". Which response by the nurse would be most appropriate?
a. "Do you hear these voices very often?" b. "Do you have a plan for getting away from the voices?" c. "I'll stay with you. Tell me what you are hearing.". d. "Try to ignore them and play cards with the others.".
A client has recently been diagnosed with skin cancer. When discussing the diagnosis with the nurse, the client tearfully asks why she could have gotten skin cancer, as she has never sunbathed in her life
What response by the nurse is indicated at this time? A) "We frequently never find out why cancer strikes." B) "Sun exposure can happen as we carry out our daily activities." C) "This is unusual, as skin cancer normally only occurs in sunbathers." D) "Can you tell me more about your feelings?"
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A) Reinforce the Biobrane dressing with another piece of Biobrane B) Remove the Biobrane dressing and apply a new dressing C) Trim away the separated Biobrane D) Notify the physician for further emergency related orders
A patient diagnosed with panic disorder is placed on a tricyclic antidepressant. The nurse should counsel the patient to expect full benefit from the drug in:
a. 5-6 days. b. 2-3 weeks. c. 1-2 months. d. 6 months.