The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin. Which assessment should the nurse identify before beginning the teaching session?
A) Present knowledge related to the skill of injection.
B) Intelligence and developmental level of the client.
C) Willingness of the client to learn the injection sites.
D) Financial resources available for the equipment.
Answer: C) Willingness of the client to learn the injection sites.
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A patient is brought to the emergency department (ED) by paramedics after a person standing on the sidewalk saw him fall on a crowded street. He has a history of alcoholism and is frequently brought to the ED
The nurse finds the patient to be disoriented; he has periods of being calm mixed with episodes of being disruptive and loud. His vital signs are the following: BP 138/84; pulse 135, regular and strong; respiratory rate 22; temperature 37.1°C (98.1°F). What electrolyte imbalance might the nurse suspect? 1) Hypomagnesemia 2) Hypocalcemia 3) Hyperkalemia 4) Hypernatremia
A patient is brought to the emergency department by friends, who report finding the patient difficult to awaken. The friends report removing two fentanyl transdermal patches from the pa-tient's arm
On admission to the emergency department, the patient has pinpoint pupils and a respiratory rate of 6 breaths per minute. A few minutes after administration of naloxone, the res-piratory rate is 8 breaths per minute and the patient's pupils are dilated. The nurse recognizes these symptoms as signs of: a. a mild opioid overdose. b. decreased opioid drug levels. c. improved ventilation. d. worsening hypoxia.
A patient in the transition phase of labor is requesting fentanyl (Sublimaze) for pain. How should the nurse respond to this request?
A) "I will page the provider and ask for your pain medication." B) "You are so close to delivery, don't you want to have natural child birth?" C) "Pain medication given now might cause the baby to have slow respirations and is not recommended. Let's try to focus and breathe." D) "Rather than use fentanyl, we can ask the provider to order another analgesic at this point."