As part of the ongoing assessment of a client receiving insulin detemir, the nurse would suspect that the insulin is not effective based on assessment of which of the following? Select all that apply
A) Increased thirst
B) Increased urination
C) Increased appetite
D) Confusion
E) Abdominal pain
Ans: A, B, E
Feedback:
If the insulin was not effective, the client would exhibit signs and symptoms of hyperglycemia including drowsiness, dim vision, thirst, nausea, vomiting, abdominal pain, loss of appetite, acetone breath, and excessive urination.
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A community health nurse meets with a 15-year-old single mother to teach a tube-feeding technique to her infant. The teen's mother is present
The nurse notes that the young mother is hesitant to try the feeding technique and does not ask questions. During the feeding, the teen mother almost drops the feeding tube and is scolded by her mother for being clumsy. Based on this initial information, which nursing diagnosis is most appropriate? 1. Anxiety related to lack of knowledge and inexperience 2. Ineffective Family Coping related to conflicted daughter–parent relationship and dysfunctional communication 3. Social Interaction Impaired related to paternal interference 4. Self-Esteem (Low) Situational, related to lack of experience, criticism, and role uncertainty
Quality measures are being determined for a home health care agency. For which of the following would the agency want to achieve higher percentage rates?
A) Hospital admissions B) Urgent unplanned medical care C) Deteriorating wound status D) Decreased pain with movement
Which of the following complementary and alternate therapies use 7,000 nerve endings to improve the body's ability to facilitate natural healing?
A) Reflexology B) Magnetism C) Acupuncture D) Chiropractice
The most effective agent for antisepsis of intact skin prior to an invasive procedure such as IV insertion is:
1. iodine tincture. 2. an iodine solution. 3. povidone-iodine. 4. a Betadine scrub.