The nurse is instructing a client diagnosed with type 2 diabetes mellitus on activities to reduce the onset of macrovascular complications. Which of the following should the nurse include in these instructions? (Select all that apply.)
1. Attain a normal body weight
2. Stop smoking
3. Increase activity
4. Keep blood pressure under control
5. Decrease fat intake
6. Ingest alcohol every day
1, 2, 3, 4, 5
Macrovascular complications associated with type 2 diabetes mellitus can be controlled by addressing the modifiable risk factors. The risk factors include obesity, smoking, sedentary lifestyle, high blood pressure, and fat intake. This is what the nurse should include in the instructions to this client. The client should not be instructed to ingest alcohol every day.
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In an attempt to be sensitive to varying cultural responses to touch, before shaking a patient's hand, the nurse will
a. offer the patient his or her upturned palm. b. wait until the patient extends his or her hand. c. establish eye contact with the patient first. d. address the patient by his or her full name.
Which of the following is a difference between counseling and psychotherapy?
A) Psychotherapy is reserved for clients who have a documented history of failing to respond to counseling. B) Generalist psychiatric nurses may perform counseling interventions, but psychotherapy is an advanced practice role. C) Transference and countertransference are significant obstacles in psychotherapy that can be avoided in a counseling mode. D) Counseling may be used in the care of acutely psychotic clients, but psychotherapy is contraindicated.
The physician has ordered nystatin 1,000,000 units swish and swallow every 6 hours for a patient with candidiasis. The nystatin is available in 100,000 units per 1-mL concentration
How many milliliters would the nurse administer with each dose? __________ Fill in the blank(s) with correct word
An adolescent patient appears reluctant to discuss sensitive issues with her parents present. What is the nurse's most appropriate intervention?
a. Tell the patient that it is very important to be honest and specific. b. Provide time when the adolescent is alone with the nurse. c. Reassure the patient that anything said in the interview is considered confidential. d. Ask the parents to answer the questions if the patient is not willing to answer.