A nurse is educating the staff nurses about ketoacidosis. To evaluate the group's understanding, the nurse asks, "Which sign or symptom would not be consistent with ketoacidosis?" The group gives which correct answer?
a. Blood glucose level of 600 mg/dL
b. Blood glucose level of 60 mg/dL
c. Acidosis
d. Ketones in the urine
B
A patient with diabetic ketoacidosis (DKA) has a high glucose level (at least 500 mg/dL or high-er); therefore, a glucose level of 60 mg/dL would not be consistent with DKA. A blood glucose level of 600 mg/dL, acidosis, and ketones in the urine are consistent with DKA.
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Which principles are important to consider when an RN delegates tasks to UAP (select all that apply)?
a. Tasks are delegated that will challenge the UAP to use critical thinking. b. Assess the condition and stability of the patient. c. Delegate tasks that are within the exper-tise of the RN, particularly if the UAP is a student. d. Evaluate the effectiveness of the task. e. Document the delegation.
Unless contraindicated because of complications or secondary infections, home is the ideal environment for the management of children who have infectious or communicable diseases, because:
a. it is quieter and more restful in the home environment b. the child can remain in his or her bed for comfort c. the spread of infection is limited to those in the immediate environment d. this qualifies the child for a home tutor so her or she will not get behind in her schoolwork
A nurse was very concerned about an elderly client who took care of himself in his own apartment. On the basis of statistics, which behavior would cause the nurse to be most concerned about his safety?
a. The man frequently went on long walks through the neighborhood. b. The man often ate at the "all you can eat" buffet, sometimes spending several hours there. c. The man often tripped over the rug in front of the sink. d. The man smoked from the time he got up until he went to bed.
A home care nurse assesses a very demanding patient with chronic obstructive pulmonary disease (COPD). Afterward, the nurse talks with the spouse who has provided this patient's care for 6 years. The spouse says, "I don't need much sleep anymore
I might need to help him during the night." Select the nurse's most therapeutic response. a. "It sounds like you are very devoted to your spouse." b. "I noticed you fell asleep while I was assessing your spouse. I'm concerned about you." c. "Your spouse is lucky to have you to provide care rather than being placed in a nursing home." d. "If you keep going like this, your health will be impaired also. Then who will take care of both of you?"