An old-old male patient with type 2 diabetes and negative diabetic urine testing has elevated blood sugar levels. Which of the following age-related changes could cause his elevated blood sugar without any evidence of glycosuria?
A) Decreased reabsorption from the filtrate
B) Reduced tubular function
C) High blood urea nitrogen levels
D) Increase in the renal threshold for glucose
D
Feedback:
An increase in the renal threshold for glucose, as often occurs in older adults, is a serious concern. False-negative results in diabetic urine testing can occur for this reason.
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A 15-year-old boy has been diagnosed with bone cancer after several months of fatigue and pain. What question should the nurse include in an assessment when trying to minimize the potential for adverse drug reactions?
A) "Do you ever use alcohol or drugs?" B) "How much do you weigh?" C) "On a scale of zero to ten, what level of pain is acceptable to you?" D) "Did Tylenol or other over-the-counter pain remedies ever relieve your pain?"
Which of the following interventions would be appropriate for a client with a restraint?
a. Assess restraints every 2 hours. b. Use a square knot. c. Assess the extremity for circulation and neurological integrity every 2 hours. d. Secure the restraint strap to the side rail.
When participating in a nurse licensure compact, the nurse:
a. is held responsible for complying with the nursing practice laws in the state where practicing at the time care is rendered. b. must purchase a license in each state but does not retake the licensure exam. c. determines residency based on the state where educated as registered nurse. d. may practice using one license in any state or territory in the United States that recognizes the NCLEX® as the source of licensure.
Health care is constantly changing and becoming more complex. Select the answers that describe clients as health care consumers today. Select all that apply
A) They often have health information obtained from the Internet. B) They prefer to control the decisions made about their own health care. C) Most are less concerned about health care costs as long as they receive good care. D) They express concern regarding access to care and the quality of service. E) They have helped develop clients' rights and cost-containment measures.