The nurse has cared for four patients with type 1 diabetes over the past few shifts. Based upon components of managing diabetes, which patient will likely have the greatest success in maintaining tight glucose control of his or her type 1 diabetes?
A) A patient who skips breakfast when her morning glucose reading is greater than 220 mg/dL.
B) A patient who never deviates from his prescribed dose of insulin.
C) A patient who adheres to a meal plan and meal schedule.
D) A patient who eliminates carbohydrates from her daily intake.
C
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What is the priority nursing assessment for a patient who his receiving postoperative epidural analgesia with hydromorphone (Dilaudid)?
a. Respiratory rate, depth, and pattern b. Skin underneath the epidural dressing c. Bladder scanning to check for urinary retention d. Itching on the trunk and/or extremities
The nursing intervention that constitutes false imprisonment is:
a. The client is confused and combative. He insists that no one can stop him from leaving. The nurse restrains him without a physician's order, then seeks the order. b. The client has been "pesky," seeking the attention of nurses in the nurses' station much of the day. Now the nurse escorts him to his room and tells him to stay there or he'll be put into seclusion. c. A psychotic client, admitted as an involuntary patient, runs out of the psychiatric unit. The nurse runs after him and succeeds in talking the client into returning to the unit. d. A client, hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and, acting on established protocol, they prevent him from leaving.
The nurse assisting with prioritizing nursing diagnoses would select which of the following as the highest priority?
1. Impaired adjustment 2. Acute pain 3. Risk for imbalanced body temperature 4. Ineffective airway clearance
Which client does the nurse determine has the highest risk for a bleeding disorder during heparin therapy?
1. A 10-year-old client who has viral infection 2. A female client who gave birth 6 weeks ago 3. A male client who takes naproxen (Naprosyn) 4. A 60-year-old client who has a nephrolithiasis