List five signs and symptoms of hyperglycemia.
What will be an ideal response?
· Early headache
· Drowsiness
· Confusion
· Sweet, fruity odor to the breath
· Deep breathing
· Full, bounding pulse
· Low blood pressure
· Nausea or vomiting
· Flushed, dry, hot skin
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Tyrel Asplund, 80 years old, has the nursing diagnosis of impaired skin integrity related to stasis ulcer on the left ankle. Which of the following would be a goal for this nursing diagnosis?
a. The resident will not have any more leg ulcers b. Stasis ulcer will have decreased redness and granulation tissue evident in 2 weeks c. The nurse will change the wound dressing b.i.d. until healed d. The nurse will chart any wound drainage and report it to the physician
A child with a severe, chronic illness is hospitalized and the staff finds it difficult to deal with the mother, who is overbearing and controlling. What action by the nursing manager would be most appropriate to help the situation?
A. Ensure consistent caregiver staffing. B. Explain that the mom is trying to regain control. C. Request a social work consultation. D. Set strict limits on the mother's behavior.
The nurse is caring for a patient who has been having abdominal pain. The doctor suspects that the patient may have an abdominal aortic aneurysm. Which tests would confirm the doctor's suspicion? (Select all that apply.)
a. Magnetic resonance imaging (MRI) scan b. Needle aspiration with biopsy c. Fiberoptic endoscopy d. Computed tomography (CT) scan e. Flexible sigmoidoscopy f. Thoracentesis
The client is going home on a high-protein diet. What would be the best dessert for someone who needs to increase his or her intake of protein?
A) Gelatin B) Pudding C) Cherry pie D) Sherbet