The nurse reviews a patient's glycosylated hemoglobin (Hb A1C) results to evaluate
a. fasting preprandial glucose levels.
b. glucose levels 2 hours after a meal.
c. glucose control over the past 90 days.
d. hypoglycemic episodes in the past 3 months.
ANS: C
Glycosylated hemoglobin testing measures glucose control over the last 3 months. Glucose testing before/after a meal or random testing may reveal impaired glucose tolerance and indicate prediabetes, but it is not done on patients who already have a diagnosis of diabetes. There is no test to evaluate for hypoglycemic episodes in the past.
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The healthcare provider prescribes digoxin for a client who is to be discharged in the morning. When documenting the order in the medical record, which action by the nurse is the most appropriate?
A) Write digoxin, .0125 mg QD B) Write digoxin, 0.0125 mg QD PO C) Write digoxin, 0.0125 mg, once daily. D) Write digoxin, 1 pill each day.
What are some of the best ways the nurse can influence family communication? Select all that apply
A. Emphasize the importance of listening to professional suggestions. B. Point out when a family member communicates inappropriately. C. Role-model appropriate communication patterns. D. State very clearly and directly what should be done by family members. E. Share what the nurse observes about family communication. F. Tell the family members how best to communicate.
A first-time parent of a 6-week-old infant tells the nurse that she feels anxious and sad, cries a lot, and has difficulty sleeping. What will the nurse do?
a. Ask her to complete the Edinburgh Postnatal Depression Scale. b. Reassure her that the "baby blues" are normal after childbirth. c. Suggest that she get more sleep and try to increase her activity. d. Suggest that she talk to her provider about using an SSRI.
When a client is routinely taking NSAIDS, a nurse may suggest a Guaiac stool test be ordered. Why would the nurse feel this is necessary?
A. To monitor excessive diarrhea B. To monitor for GI bleeding C. To monitor for clostridium difficile (c. diff)