A nurse working at a battered woman's shelter is counseling a pregnant woman who has just en-tered the shelter. When assessing the client's history, which information would the client most likely report?
a. A history of abuse before pregnancy
b. A history of child abuse
c. A history of multiple pregnancies
d. A history of substance abuse
ANS: A
Abuse before pregnancy is the most important risk factor for physical battery during pregnancy. A history of child abuse, multiple pregnancies, and substance abuse are not as closely associated with the risk of physical battery during pregnancy.
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When blood glucose levels are difficult to control in type 2 diabetes some form of insulin may be added to the treatment regimen to control blood glucose and limit complication risks. Which of the following statements is accurate based on research?
1. Premixed insulin analogues are better at lowering HbA1C and have less risk for hypoglycemia. 2. Premixed insulin analogues and the newer premixed insulins are associated with more weight gain than the oral antidiabetic agents. 3. Newer premixed insulins are better at lowering HbA1C and postprandial glucose levels than long-acting insulins. 4. Patients who are not controlled on oral agents and have postprandial hyperglycemia can have neutral protamine Hagedorn insulin added at bedtime.
The steps of the ethical decision making process are similar to the steps of
a. Healthy People 2010 b. Deontology c. The nursing process d. Advocacy
A regular diet consists of food that is
A) mostly raw and unprocessed. B) very high in fat. C) selected from all food groups. D) easily digestible and does not cause gas.
A patient with osteoporosis taking calcitonin is experiencing nausea and vomiting. What should the nurse do about the patient's complaint?
A. Alternate nares when administering the medication. B. Increase the amount of vitamin D in the diet. C. Monitor and record the frequency and amount of emesis. D. Hold the next dose of calcitonin and notify the physician.