An adolescent client has a BMI of 28 and fasting glucose level of 125 mg/dL. Which recommendation should the nurse expect for this client?

a. No action since a fasting blood sugar of 125 mg/dL is not abnormal
b. Immediate referral to an endocrinologist for further evaluation
c. A high-fiber diet, strenuous exercise daily, and weight loss of > 20%
d. Weight loss of 7%, low-fat diet, and moderate exercise for prevention of type 2 diabetes


d. Weight loss of 7%, low-fat diet, and moderate exercise for prevention of type 2 diabetes

The ADA recommends a weight loss of 7% of body weight and at least 150 minutes/week of moderate activity such as walking to prevent the development of type 2 diabetes. In the Nurses' Health study, a healthy diet high in cereals and polyunsaturated fats was more strongly associated with lower risk of diabetes among minorities. An immediate referral to the endocrinologist is not warranted. Pre-diabetes is defined as a fasting blood sugar between 100 and 125 mg/dL.

Nursing

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A nurse working with at-risk children recognizes that vulnerability to psychosocial or cognitive disorders depends on which risk factors? (Select all that apply.)

A. Environment B. Genetics C. Immunity D. Temperament E. Timing of exposure

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An 85-year-old patient experiences urinary incontinence. The nurse is aware that:

A) Antispasmodics are often prescribed to decrease urinary incontinence. B) Restricting fluid intake is recommended. C) Reflux incontinence is common in the elderly. D) Urinary incontinence is not a consequence of aging.

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A burn patient is admitted to a medical-surgical unit and acquires a urinary tract infection (UTI). The prescriber orders mafenide (Sulfamylon) to prevent bacterial colonization

The nurse should monitor the laboratory test results for the development of a. anemia. b. uremia. c. hepatitis. d. acidosis.

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What document should be reviewed to identify chargebacks to the pharmacy?

a. coordination of benefits b. explanation of benefits c. claims capture d. post-claim explanation

Nursing