The nurse receives a telephone laboratory report indicating that a diabetic client has a glycosylated hemoglobin A1c level of 7.6%. The nurse plans to provide diabetic teaching in which of the following priority areas?
1. Avoidance of infection
2. Rotation of insulin injection sites
3. Measures to prevent hyperglycemia
4. Avoidance of hypoglycemic episodes
3
Rationale: The normal level for glycosylated hemoglobin A1c is 4% to 6%. This test measures the amount of glucose that has become permanently bound to the red blood cells (RBCs) from circulating glucose. Elevations in the blood glucose level will cause elevations in the amount of glycosylation, helping to detect otherwise unknown episodes of hyperglycemia. Elevations indi-cate continued need for teaching related to the prevention of hyperglycemic episodes because the results are reflective of the blood glucose levels over the preceding 2- to 3-month period.
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The nurse educator is preparing an in-service on pain management for the staff. One of the staff nurses asks, "What is the most important part of a pain assessment?" Which response by the nurse educator is the most appropriate?
1. "Pain is only partially subjective and primarily a physiologic experience, so vital signs are the most important assessment." 2. "A client's response to pain is always based on the underlying cause, so the client's admitting diagnosis is important." 3. "Vital signs are not reliable indicators of acute pain, because only some clients are able to elicit a change in blood pressure or pulse rate." 4. "The response to pain is unique and based on numerous factors, which need to be assessed."
Which action by the nurse manager is a demonstration of satisficing?
1. The nurse manager works with the staffing schedule until all requested days off are honored. 2. The nurse manager reposts a job opening because no applicants were a good fit for the current unit staff. 3. The nurse manager agrees with a proposed budget that does not provide badly needed new client beds. 4. The nurse manager insists on firing a nurse who is chronically late to work.
Joan has a history of drug use and is screened for hepatitis B during the first trimester. Which action is appropriate?
a. Anticipate administering the vaccination for hepatitis B as soon as possible. b. Plan for retesting during the third trimester. c. Discuss the recommendation to bottle feed her baby. d. Practice respiratory isolation.
Which of the following statements about telenursing is true?
1. Telenursing has been in existence for decades, using available technology to serve its purposes. 2. The American Academy of Ambulatory Care Nursing was founded to promote nursing in telehealth. 3. Telehealth nursing practice is not yet considered to be a subspecialty of nursing. 4. Basic telehealth nursing principles have been widely integrated into basic nursing curricula.