A patient weighs 140 kg and is 60 in. tall. The patient's blood sugar is being controlled by glipizide. As the nurse discusses discharge instructions, the primary treatment goal with this type 2 diabetes patient would be
a. signs of hypoglycemia.
b. proper injection technique.
c. weight loss.
d. increased caloric intake.
C
This patient weighs 308 lb and is 5 feet tall. Diet management and exercise are interventions to facilitate weight loss in patients with type 2 diabetes.
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The nurse is preparing to provide care to a group of clients. Which specific areas should the nurse focus in order to prioritize the clients' care needs?
Select all that apply. A) Asking if any clients have complex issues B) Noting number of licensed staff assigned for the shift C) Noting time when the attending physicians make rounds D) Identifying clients with specific medication times E) Noting which clients have particular safety needs
Caroline asks family members to leave while she cares for the 16-year-old victim of a recent car accident
The father screams at her and tells her that she has no right to ask his family to leave, and that if she continues to do so, he will "throw her out of the room." Caroline is shaken and tells her head nurse, who tells her that this kind of thing is just part of the job. The guidance of the head nurse: a. Is reasonable. No physical violence was involved. b. Is related to why statistics on violence in health care are likely underreported. c. Acknowledges the deep distress and fear of the family. d. Acknowledges the concern of the nurse.
The patient has eyedrops ordered daily to both eyes. Which action by the nurse is appropriate when administering the medication?
a. Carefully place the drop on the cornea. b. Wipe the eye with a tissue after placing the eyedrop. c. Hold the eyedropper about 1 to 2 cm above the eye. d. Instruct the patient to squeeze the eye shut after instillation.
A client diagnosed with borderline personality disorder tells the nurse that she "frequently spaces out." Which response by the nurse would be most appropriate?
A) "Do you feel stressed most of the time?" B) "Does this frighten you when it happens?" C) "What's happening around you when this occurs?" D) "Do you feel as if you are out of your body?"