The 28-year-old female client has arrived for surgery. The preoperative nurse obtained the following client history: Type I diabetes; No other significant health or family history; No recent surgeries; No use of alcohol, tobacco products, or illegal
drugs; Medications include insulin and aspirin. The nurse can anticipate which of the following to be performed preoperatively? 1. Urine pregnancy test, hemoglobin A1C, fasting blood sugar
2. CBC, electrolytes, hemoglobin A1C, chest x-ray
3. Fasting blood sugar, serum pregnancy test, electrolytes
4. CBC, urine pregnancy test, chest x-ray
Urine pregnancy test, hemoglobin A1C, fasting blood sugar
Rationale: Preoperative tests for a diabetic female of childbearing age will likely include a urine pregnancy test, hemoglobin A1C, and a fasting blood sugar. A CBC may also be indicated since this is a female who is likely still menstruating. A chest x-ray, electrolytes, and serum pregnancy test are not indicated unless there are other health problems.
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A) Request another assignment if there is dissonance with the patient's lifestyle. B) Ask the patient to come to the agency to receive treatment, if possible. C) Resolve to convey respect for the patient's beliefs and choices. D) Try to adapt the patient's home to the norms of a hospital environment.
Nurses now have the option to practice in a variety of settings. One of the fastest growing venues of practice for the nurse in today's health care environment is home health care. What is the basis for the growth in this health care setting?
A) The chronic nursing shortage B) The focus on treatment of disease C) The preference of nurses to work during the day instead of evening or night shifts D) The discharge of patients who are more critically ill
You have admitted a new patient to your unit with a diagnosis of Stage IV breast cancer
This woman has a comorbidity of myasthenia gravis. While you are doing the initial assessment, the patient tells you that she felt the lump in her breast about 9 months ago. You ask the patient why she did not see her health care provider when she first found the lump in her breast. What would be a factor that would influence the patient in seeking health care services? A) Positive attitudes among health care providers B) Lack of knowledge by the patient C) Overly sensitive patient reactions to health care services D) Unfavorable interactions with health care providers
MC According to the Public Health Nursing Competencies document, to function effectively as a member of an official public health agency, the nurse must be able to
A. Develop health education programs for the community. B. Consult with other agencies when problem solving. C. Develop collegial collaborative roles with others in the community. D. Research, collect, analyze and interpret community health data.