A patient who is prescribed glyburide (DiaBeta) asks if having a glass of wine once a week is okay. What is your best response?
a. "Insulin activity is dramatically reduced under the influence of alcohol, and drinking even one glass of wine will increase your insulin requirements."
b. "Diabetes reduces your kidney function, so you should avoid ingesting alcohol in all forms at all times."
c. "You should not drink any alcohol as it is likely to increase your sense of hunger and make you overeat."
d. "One glass of wine can be ingested with a meal on occasion and cause no problems."
ANS: D
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When interviewing an elderly patient, all of the following techniques will be helpful, EXCEPT
a. allowing extra time for the interview. b. scheduling more than one interview. c. speaking loudly and slowly. d. interviewing a family member or caregiver as well as the patient.
The nurse is caring for a client following gastrointestinal diagnostic testing. The client verbalizes being ashamed because he is having frequent gas. Which nursing suggestion is best?
A) "Having gas following the procedure is normal. Expel the gas to decrease discomfort." B) "Do not be ashamed. Everyone has gas following the procedure." C) "The nursing staff is used to having clients with gas due to the procedure completed." D) "Nurses anticipate that client will have gas following the procedure and provide privacy."
Which client is at greatest risk for developing hypercalcemia?
a. Client taking furosemide (Lasix) for heart failure b. Client with long-standing osteoarthritis c. Woman who is pregnant with twins d. Client with hyperparathyroidism
The nurse and client had set the following expected outcome: "At the next clinic visit, the client will report participation in three activities to increase self-esteem." At today's visit, the client is unable to meet the stated outcome
What should be the nurse's next action? 1. Explore the possible reasons for not meeting the outcome. 2. Reevaluate the accuracy of the outcome statement. 3. Collaborate with the client to write a new expected outcome. 4. Identify new interventions to help the client achieve the outcome.