An insulin-dependent diabetic patient tells the nurse that she has been giving herself injections in the same location in her right thigh for the past several months because it is easier. What is the nurse's best action?
a. Provide patient teaching on rotating injection sites.
b. Assess the patient for cumulative effects.
c. Check the type of insulin the patient receives to ensure that it is compatible with the vastus lateralis site.
d. Document the patient's comments, as the patient understands the treatment regimen.
ANS: A
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A client with a history of rheumatoid arthritis reports mobility impairment as a result of hip and knee joint stiffness. The nurse suggests the following interventions to assist the client in managing this problem: Select all that apply
1. Encouraging frequent periods of rest for the affected hip and knee joints. 2. Instructing the client in the proper technique for active range of motion of the affected joints. 3. Educating the client's family to perform passive range-of-motion exercises of the affected joints. 4. Suggesting the application of ice to the affected joints to minimize pain. 5. Discussing the use of relaxation techniques when affected joints are most painful.
During a postpartum assessment, the nurse detects a positive Homans' sign. A positive Homans' sign is elicited when the:
a. Woman stands and feels pain in her foot b. Knee is slightly flexed, the foot is dorsiflexed, and pain is felt in her calf c. Knee is held flat, the foot rotated, and pain is felt in her calf d. Knee is flexed, the foot extended, and pain is felt in her calf
D.M.'s blood alcohol concentration (BAC) result is 0.06 mg%. Interpret this result. Does this
level reflect legal intoxication? What will be an ideal response?
Which of the following factors increases the risk of necrotizing enterocolitis (NEC) in very premature neonates? (Select all that apply.)
a. Early oral feedings with formula b. Prolonged use of mechanical ventilation c. Hyperbilirubinemia d. Nasogastic feedings