What condition does the nurse suspect when a child with type 1 diabetes mellitus has hyperglycemia, diaphoresis, and headaches in the morning?
a. Dawn phenomenon
b. Somogyi phenomenon
c. Honeymoon effect
d. Ketoacidosis
ANS: B
The Somogyi phenomenon (rebound hyperglycemia) occurs when the blood glucose level is lowered to the point at which the body's counter-regulatory hormones are released, producing the symptoms described.
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You are caring for a client newly admitted to the unit with a diagnosis of lymphangitis. What interventions would you institute to help promote the resolution of the lymphangitis? Select all that apply
A) Apply ice to the area. B) Note the response to antibiotic therapy. C) Encourage independent activities of daily living. D) Elevate the area. E) Apply warm soaks/compresses to the area.
Which of the following individuals provided community-based care and founded public health nursing?
A) Adelaide Nutting B) Lillian Wald C) Sojourner Truth D) Clara Barton
Which approach would the nurse avoid when caring for the family of a dying patient?
1. Repeating information frequently to make sure the information is being understood fully 2. Reaffirming the bad news but allowing time to listen to their responses 3. Being honest and sincere but sensitive to the family's needs 4. Encouraging a quick decision-making process to decrease the amount of time required to get past the painful part of dealing with the death
The nurse is preparing to assess the blood pressure of a 3-year-old. How should the nurse proceed?
a. Use the diaphragm portion of the stethoscope to detect Korotkoff sounds. b. Obtain the reading before the child has a chance to "settle down." c. Choose the cuff that says "Child" instead of "Infant." d. Explain the procedure to the child.