A child is being seen in the clinic with a possible diagnosis of type 2 diabetes. The mother asks what the physician uses to make the diagnosis
The nurse would explain that type 2 diabetes is suspected if the child is obese, has acanthosis nigricans, and has a blood glucose level without fasting, on two separate occasions, above which level? 1. 120
2. 80
3. 200
4. 50
3
Rationale:
1. Blood glucose levels at or above 200 mg/dL without fasting are diagnostic of diabetes.
2. Blood glucose levels at or above 200 mg/dL without fasting are diagnostic of diabetes.
3. Blood glucose levels at or above 200 mg/dL without fasting are diagnostic of diabetes.
4. Blood glucose levels at or above 200 mg/dL without fasting are diagnostic of diabetes.
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The charge nurse overhears a new nurse telling a patient that he should no longer follow his vegetarian diet because his protein needs are so high and because "God made animals for us to eat." What action by the charge nurse is best?
a. No action is necessary for the charge nurse to take. b. Reinforce the nurse's teaching on proper diet. c. Offer to call the dietitian to work with the patient. d. Privately speak to the nurse about this conversation.
A patient who has been diagnosed with chlamydia is started on a protocol of doxycycline and is reminded by the nurse that: (Select all that apply.)
a. her partner does not need treatment. b. she should use a condom to protect part-ners from disease. c. the disease can develop into pelvic in-flammatory disease. d. the entire prescription of antibiotics should be taken. e. the disease can result in an ectopic preg-nancy.
The nurse assessing a client with declining visual acuity would use gentle questioning and tact because (Select all that apply)
a. a client might not give accurate answers if he/she thinks driving will be restricted. b. lack of a family history might mean a client has no risk of vision disorders. c. social stigma accompanying blindness may cause the client anxiety. d. vision disorders affect dependence and independence. e. vocational barriers may force the client to seek different employment.
When doing an ophthalmologic examination the nurse practitioner assesses papilledema, which the practitioner recognizes as an indication of
a. compression of the second cranial nerve. b. increased intraocular pressure. c. migraine headache. d. impending stroke.