The family of a bedridden client with type 2 diabetes mellitus and chronic renal failure calls a nurse to report the following symptoms: headache, polydipsia, and increased lethargy
To determine a possible diagnosis, the nurse asks the family which most important question?
A) "What is the client's urinary output?"
B) "What is the client's capillary blood glucose level?"
C) "Has there been any change in the dietary intake?"
D) "Have you increased the amount of fluids provided?"
B
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The nurse manager is reviewing the current staff to determine who should precept a newly licensed nurse. Which nurse is the most logical choice?
1. A nurse who needs the temporary pay increase that accompanies precepting 2. A nurse who is clinically competent and has the desire to assume the responsibility to train new staff 3. A nurse who has expressed the desire for additional training and unit responsibilities 4. The nurse who needs to work an 8-hour schedule for a few weeks while recovering from a work-related accident
If a female client tells the nurse of extensive plans she has to harm the girlfriend of her ex-husband, what is the nurse's best action?
a. Try to talk with the client to convince her not to harm the girlfriend. b. Have the client sign a contract with you stating that she will not harm the girlfriend. c. Inform the ex-husband of the intentions of the client. d. Inform the girlfriend of the intentions of the client.
The nurse is responsible for monitoring the feedings of the infant with hyperbilirubinemia every 2 to 3 hours around the clock. The purpose of these formula- or breast-feedings is to:
a. Prevent hyperglycemia. b. Provide fluids and protein. c. Decrease gastrointestinal motility. d. Prevent rapid emptying of the bilirubin from the bowel.
The nurse responds to a ventilator pressure alarm by going to the patient's room. What should be the nurse's first action?
1. Turn off the ventilator alarm to help calm the patient. 2. Administer intravenous sedation according to prn prescription. 3. Assess for the cause of the alarm. 4. Manually bag the patient until the cause of the alarm is detected.