A young patient complains that diabetes is causing her to "have no life at all. It's too hard." What is the most helpful response by the nurse?
a. "Yes, you must make some sacrifices."
b. "It's hard, but with significant alterations in your lifestyle, you can live a long life."
c. "What's hard about exercise, diet, and medicine?"
d. "Let's talk about what makes it so hard."
D
Involving the patient in decisions about how she will cope with her diabetes will make the goals more realistic and personal, which will give her a greater chance of success in meeting them.
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The nurse is administering both crystalloid and colloid intravenous fluids as part of fluid resuscitation in a patient admitted in severe sepsis. What findings assessed by the nurse indicate an appropriate response to therapy?
a. Normal body temperature b. Balanced intake and output c. Adequate pain management d. Urine output of 0.5 mL/kg/hr
The nurse notices that the patient has a first-degree AV block. Everything else about the rhythm is normal. The nurse should:
a. prepare to place the patient on a transcutaneous pacemaker. b. give the patient atropine to shorten the PR interval. c. monitor the rhythm and patient's condition. d. give the patient an antiarrhythmic medication.
The nurse using the body mass index (BMI) to assess weight in a client should understand which of the following limitations of this method?
1. There is lack of correlation of the values in the BMI table with those in height-weight tables. 2. Assumption that all individuals have equal body composition at each given weight 3. BMI is difficult to accurately calculate. 4. The BMI's use to determine the risk for obesity is reduced in individuals who are on reduced calorie diets.
In order to prevent suffocation, parents should be taught:
a. Store small objects in a box in the playpen b. Ensure crib slats are more than 2 3/8 inches apart c. Lift child immediately out of the crib if vomiting d. Avoid clothes with drawstrings or cords around the neck