A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment
The client says, "I already know what you are attempting to teach because I looked everything up on the Internet.". The best action for the nurse to take is to: 1. Document that the client understands teaching.
2. Give the client printed learning materials.
3. Teach the client's support system how to perform the procedure.
4. Require the client to perform a return demonstration.
4. Require the client to perform a return demonstration.
Rationale:
The nurse is responsible for documenting that the client can perform the skill that has been taught. Giving the client written directions or teaching the support person does not meet the requirement that the client will perform the skill. The nurse cannot document that the client understands teaching until a return demonstration by the client is correctly performed.
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Late preterm infants need closer monitoring during her hospital stay than term infants. In order to prevent unrecognized cold-stress the nurse should perform all except
a. Wean the infant to an open crib. b. Check temperature every 3 to 4 hours. c. Encourage kangaroo care. d. Place infant on a radiant warmer.
A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. Which outcome would the nurse recognize as most appropriate for this patient?
a. Patient has a balanced intake and output. b. Patient's bedding is changed when it becomes damp. c. Patient understands the need for increased fluid intake. d. Patient's skin remains cool and dry throughout hospitalization.
A client is prescribed a medication that is a blend of an opioid analgesic with an NSAID. The nurse realizes that this medication will have which effects on the client?
1. Encourage the development of tolerance. 2. Encourage the development of addiction. 3. Maximize pain control while minimizing toxicity. 4. Maximize pain control while minimizing side effects. 5. Reduce the onset of pseudoaddiction.
A? 52-year-old male is in moderate distress and complaining of nausea and vomiting. He describes a? three-day history of left upper quadrant abdominal pain described as sharp and radiating to his back. You note a slightly distended abdomen. He called EMS today when he developed nausea and vomiting. He denies any change of bowel habits and states he has a history of alcoholism. Of the? following, which is the most likely cause of his clinical? condition?
A. Hepatitis B. Pancreatitis C. Peptic ulcer disease D. Gastroenteritis