The nurse learns that many of a client's relatives have Type 2 diabetes. How can the nurse best follow up on this information with the client?
1. "Do you know how many people in your family have diabetes?"
2. "I would think you would not want to risk kidney failure or blindness."
3. "Let's talk about ways to help you avoid developing diabetes."
4. "Your risk of developing diabetes is very high and you should take steps to prevent it."
3
Rationale 1: The client probably does know. This question does not offer teaching.
Rationale 2: This statement has a badgering tone and assumes the client will not accept teaching or lifestyle changes.
Rationale 3: This statement sets the stage for the nurse to deliver information. It is nonthreatening and offers help.
Rationale 4: This is a true statement but does not offer assistance.
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As the nurse is preparing a community education plan regarding high blood pressure, he knows that which of the following may impact the information that is shared?
1. When taking ACE inhibitors, African Americans have a higher incidence of significant side effects, such as angioedema. 2. Undergoing Westernization by American Indians helps them reduce their incidence of high blood pressure. 3. There is no difference in the incidence of hypertension across the United States. 4. Caucasian Americans have a higher incidence of complications from high blood pressure.
You note a painful ulcerative lesion near the medial malleolus, with accompanying hyperpigmentation. Which of the following etiologies is most likely?
A) Arterial insufficiency B) Neuropathic ulcer C) Venous insufficiency D) Trauma
A woman with multiple bruises on her face and arms is seen in the emergency department. Her significant other is with her. When asked about her injuries, the woman states, "I ran into a door."
Which action by the nurse is of highest priority? 1. Take the woman's vital signs. 2. Document the location of the bruises. 3. Assess for additional bruising. 4. Interview the woman in private.
A child has a history of anxiety disorder. Which statement by the child supports this diagnosis?
a. "I don't need to go to school like some other kids. b. "School is really boring so I don't like to go there.". c. "My stomach aches in the morning so I can't go to school.". d. "My parents can't make me go to school if I don't want to.".