A 60 year old Type II diabetic is at the physician's office for an annual physical examination
In addition to assessing the client's weight, BP, nutritional status, and medications, the physician will most likely order which test to assess the client's blood glucose control over a period of time? a. random blood glu-cose c. fasting blood glucose
b. glycated hemoglobin A1C d. 2-hour postprandial glucose
B
The glycated hemoglobin A1C reports glucose levels and results indicate if a client's blood glucose are under control. Elevated A1C levels are seen in clients with diabetes that is not well controlled. A normal total A1C level is 4.0-7.0%. Values above 7% indicate poor control.
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The nurse is caring for an older client with depression who has begun having trouble sleeping
In addition to antidepressants, a safe, nonpharmacologic and potentially effective adjunctive treatment for insomnia in persons with a diagnosis of depression is: 1. Medical meditation. 2. Watching TV. 3. Progressive relaxation. 4. Alternate-nostril breathing.
A new nurse decides to use the Internet to apply for possible positions. How does applying online compare to applying by more traditional methods? (Select all that apply.)
a. Regardless of how one applies, it is important to check the resume for correctness. b. Follow-up with Internet applications is no sooner than 90 days compared to a 1-week follow-up for traditional applications. c. Researching the mission and philosophy of the agency is not necessary with Internet searches and applications. d. The resume and cover letter should be reviewed by someone with excellent skills in grammar and writing to ensure the first impression is one of professionalism and attention to detail. e. Internet applications should include specific questions to be answered prior to accepting an interview such as pay, shifts available, nurse-patient ratio, and autonomy of practice.
The nurse is completing a health history with a client who has complications from chronic asthma. Which open-ended question should the nurse use?
1. "How would you describe your sleep pattern?" 2. "Can you describe your coughing pattern?" 3. "Is there anything that makes your breathing worse?" 4. "What medications are you on?"
An adolescent is accompanied by the mother for an annual physical examination. The nurse is aware of privacy issues related to the adolescent. While the mother is in the room, the nurse should avoid which questions?
1. Sexual activity 2. Cigarette smoking 3. School performance 4. Use of alcohol 5. Car seatbelt use