When caring for a male client with diabetes, the nurse assesses for which of the following chronic complications of diabetes?
1. Erectile dysfunction
2. Hypoglycemia
3. Icteric sclera
4. Diabetic ketoacidosis
Erectile dysfunction
Rationale: Atherosclerotic diseases and poor blood flow are long-term complications of diabetes; this may include erectile dysfunction, PAD, or coronary heart disease. Icteric sclera are associated with hepato-biliary disorders, not diabetes. Hypoglycemia and diabetic ketoacidosis are acute complications of diabetes.
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The nurse is providing discharge teaching for a patient going home on the medication entecavir (Baraclude). What is the priority teaching point for this patient?
A) Take the whole course of the medication as prescribed. B) Take this medication with grapefruit juice. C) Do not stop taking this medication or allow the prescription to run out. D) The patient will take this medication for the rest of his life.
A client with a history of myocardial infarction calls the clinic to report the onset of a cough that is troublesome only at night. What action should the nurse take at this time?
A. Instruct the client to come to the clinic for evaluation. B. Instruct the client to increase fluid intake during waking hours. C. Instruct the client to use an over-the-counter cough suppressant before going to sleep. D. Instruct the client to use two pillows to facilitate drainage of postnasal secretions.
Ethical and legal obligation to protect the confidentiality of patient information directs nurses to do which of the following regarding electronic storing and transfer of personal health information?
a. Avoid using fax machines to transfer personal health information. b. Share personal secure passwords with immediate co-workers only. c. Rely on HIPAA regulations to assure the security of electronic devices. d. Use password-protected screen savers and data encryption technology.
A nurse is working with a family of a child who is hospitalized with asthma. The family members speak little English, and the child is being sent home on nebulizer treatments as well as an inhaler
In addition to enlisting an interpreter to help with the language barrier, the nurse should: 1. Provide written instructions before discharge. 2. Address any healing beliefs the family has. 3. Make sure the child comes back for the follow-up appointment. 4. Make sure the parents can set up the treatments for their child.