During which step of the nursing process will a nurse develop a teaching program for a diabetic patient who is designated to start insulin therapy?
1. Assessment
2. Analysis
3. Planning
4. Implementation
5. Evaluation
Correct Answer: 3
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The nurse is admitting an overweight older adult client to the medical-surgical unit with a possible hip fracture. Based on this assessment data, which diagnosis does the nurse anticipate for this client?
1. Decubiti. 2. Degenerative joint disease. 3. Chronic pain. 4. Stroke.
A physician has ordered the measurement of a cardiac patient's electrolyte levels as part of the client's morning blood work
Which of the following statements best captures the importance of potassium in the normal electrical function of the patient's heart? A) Potassium catalyzes the metabolism of ATP, producing the gradient that results in electrical stimulation. B) Potassium is central to establishing and maintaining the resting membrane potential of cardiac muscle cells. C) The impermeability of cardiac cell membranes to potassium allows for action potentials achieved by the flow of sodium ions. D) The reciprocal movement of one potassium ion for one sodium ion across the cell membrane results in the production of an action potential.
A child is brought into the emergency department with vomiting, drowsiness, and blowing respirations. The father reports that the symptoms have been progressing throughout the day. The nurse suspects diabetic ketoacidosis (DKA)
Which nursing action is most important in the management of DKA? A) Give prescribed antiemetics. B) Begin fluid replacements. C) Administer prescribed dose of insulin. D) Administer bicarbonate to correct acidosis.
Which of the following dietary guidelines would be appropriate for the elderly homebound client with advanced respiratory disease who informs the nurse that she has no energy to eat?
A) Snack on high-carbohydrate foods frequently B) Eat smaller meals that are high in protein C) Contact the physician for Ensure D) Eat one large meal at noon