A home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client states he has been vomiting and had diarrhea for the past 36 hours. He also has had no food intake in the same time frame
Which statement by the client indicates a need for further teaching?
A) "I need to stop my insulin."
B) "I need to increase my fluid intake."
C) "I need to monitor my blood glucose every 3 to 4 hours."
D) "I need to call the physician because of these symptoms."
A
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Having heard positive reports of the benefits of hormone therapy (HT) from her sister-in-law and friends, a 49-year-old woman has presented to her family physician asking to start HT
Her uterus is intact, and previous bone scans have indicated low bone density. The client also has a family history of heart disease. She characterizes her symptoms of menopause as "noticeable, but not debilitating by any means." Based on the most current research, what is her physician's best course of action? A) Begin estrogen-progesterone HT (EPT) to prevent future menopausal symptoms and coronary heart disease (CHD). B) Forego HT in light of her preexisting low bone density and consequent risk of osteoporosis. C) Forego HT but consider alternative therapies and reevaluate if her symptoms significantly affect her quality of life. D) Begin low-dose HT but perform regular breast cancer screening and heart health checks.
A patient is being discharged home after a hysterectomy. When providing discharge education for this patient, the nurse has cautioned the patient against sitting for long periods. This advice addresses the patient's risk of what surgical complication?
A) Pudendal nerve damage B) Fatigue C) Venous thromboembolism D) Hemorrhage
The clinic nurse is instructing parents about caring for a toddler with ascariasis (common roundworm). Which statement made by the parents indicates a need for further teaching?
a. "We will wash our hands often, especially after diaper changes." b. "We know that roundworm can be transmitted from person to person." c. "We will be sure to continue the nitazoxanide (Alinia) orally for 3 days." d. "We will bring a stool sample to the clinic for examination in 2 weeks."
A patient tells the nurse that if he does not wake up after surgery that his friend should be contacted because his friend knows what should be done about his health care needs
After referring to the patient's medical record, the nurse realizes that the friend is considered: 1. The patient's health care power of attorney. 2. The patient's best friend. 3. The patient's brother. 4. The patient's next-door neighbor.