In planning teaching and ongoing care for a new diabetic client, the clinic nurse should base the plan around concepts such as (Select all that apply)
a. continual assessment of client knowledge and skill level.
b. empowering the client to become the expert in his/her care.
c. liberal use of referrals depending on client need.
d. the nurse being the expert in diabetes care.
e. using a multidisciplinary approach.
A, B, C, E
Diabetes self-management is the responsibility of the client and family. The client must become empowered to accept self-management and to make sound decisions regarding care. A team ap-proach is best for managing diabetic clients and should include a nurse, dietitian, and physician as core members. Other members may include a psychologist, social worker, pharmacist, exercise physiologist, and podiatrist.
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Consider the following anticholinergic medications, and select the one that a health care provider working in a preoperative holding unit would anticipate administering to a newly admitted pa-tient
a. Dicyclomine (Bentyl) b. Clidinium (Quarzan) c. Glycopyrrolate (Robinul) d. Propantheline (Pro-Banthine)
When high-quality relationships occur between leaders and followers
a. Goals of the organization are advanced b. Organizational performance is high c. Benefits outside employment are decreased d. Positive outcomes for greater good occur
Which of the following would be most appropriate for the nurse to ask when beginning to assess a client's spirituality?
A) "What religion are you?" B) "What gives you hope or peace?" C) "Do you believe in God?" D) "Would you like to speak to a chaplain?"
A patient with a history of resolved substance abuse and who has been pacing, disorganized, mumbling to himself, trembling, and intrusive has just been given 10 mg of PRN intramuscular diazepam (Valium) after responding threateningly to a peer who
asked him to lend him money. Important nursing interventions at this point include: (Select all that apply.) a. Teach the patient about side effects and the importance of using the medication as prescribed. b. Monitor the patient's vital signs and behavior to determine his response to the medication. c. Stay with the patient to provide reassurance and support, and provide for any safety needs that might develop. d. Support the long-term use of benzodiazepine medications to assure that his disorder is adequately treated. e. Advise the patient to avoid salty foods or other sources of high levels of sodium while taking benzodiazepines. f. Discourage the patient from stimulating activities or substances such as basketball or caffeine.