A patient newly diagnosed with diabetes expresses concern about losing her vision. Which interventions should be included in the plan of care to reduce this risk? (Select all that apply.)
a. Initiation of reliable contraception to pre-vent pregnancy
b. Ways to reduce hyperglycemic episodes
c. Use of a prokinetic drug (eg, metoclopra-mide)
d. Smoking cessation
e. Emphasis on the importance of taking an-tihypertensive drugs consistently
B, D, E
Tighter glycemic control and fewer hyperglycemic episodes have been correlated with fewer complications. Smoking cessation and strict compliance with any drugs prescribed for hyperten-sion also help reduce the risk of complications. The use of contraception or a prokinetic drug is not related to a reduced risk of vision loss in patients with diabetes.
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The medical-surgical nurse manager is conducting an interview of a potential employee. The manager realizes which of the following is beneficial when conducting the interview?
1. Document first impressions of the applicant. 2. Review the resume during the interview. 3. Use closed questions to elicit more information. 4. Use work sample questions to determine knowledge.
What would the nurse do to best assist the client in increasing peristalsis and encouraging defecation after suffering from a neurologic deficit?
A) Help the client to the bathroom at a particular time each day. B) Administer a low-volume enema each day at the same time. C) Encourage liquids throughout the day. D) Encourage a high-fiber diet.
The nurse has obtained supplies to change a complex abdominal dressing on a postoperative client. When the nurse arrives at the room, the client is praying with family. What action should be taken by the nurse?
A) Quietly shut the door and wait in the hall until asked to enter. B) Come to the bedside and join in with the prayer. C) Stand quietly just inside the room door until the prayer is completed. D) Politely ask the client to allow the dressing change to proceed.
Which essential elements should be considered by the nurse who is planning to implement Wagner's Chronic Care Model (CCM)? Select all that apply
a. Clinical information systems b. Evidence-based change c. Self-management support d. Community