Melvin Young is a 56-year-old African-American male newly diagnosed with type 2 diabetes. Based on your cultural knowledge, you recognize that the least efficacious treatment for Melvin's diabetes would be:

A.
Glucophage (metformin).
B.
Amaryl (glimepiride).
C.
Gluocovance (glyburide).
D.
Insulin.


ANS: D

Nursing

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How often must the homecare treatment plan be recertified in order for the patient to continue to receive services?

a. Every 3 days b. Every 60 days c. Every 10 days d. Every 2 weeks

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Which remark by the nurse would be an appropriate way to begin an interview session?

a. "How shall we start today?" b. "Shall we talk about losing your privileges yesterday?" c. "Let's get started discussing your marital relationship." d. "What happened when your family visited yesterday?"

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The clinic nurse is giving discharge instructions to the mother of a 12-year-old boy who has been diagnosed with a mild cold. Which statements by the mother demonstrate knowledge of care? (Select all that apply.)

a. "He will be receiving an antibiotic, cor-rect?" b. "I will be sure he drinks plenty of apple and orange juice." c. "If he runs a fever, I will give him 2 aspi-rin every 4 hours until his fever comes down." d. "I will be sure he washes his hands well so he doesn't pass this on to his younger sister." e. "Since his cold just started, zinc lozenges are a good idea for him to take."

Nursing

An older adult client is prescribed furosemide (Lasix) for control of hypertension. What client education does the nurse provide? (Select all that apply.)

a. "Confusion can occur when taking this medication." b. "Drink at least 3 liters of water every day." c. "Arise slowly from a chair or from your bed." d. "Persistent coughing is a side effect of this drug." e. "You should eat foods high in potassium."

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