A nurse is caring for a client who is experiencing dumping syndrome following a nasointestinal intubation. Which of the following signs or symptoms is seen in a client with dumping syndrome?
A) Pallor
B) Wheezing
C) Headache
D) Dizziness
D
Feedback:
The client will show symptoms of dizziness, sweating, and nausea caused by fluid shifts from the circulating blood to the intestine and low blood glucose level in case it is due to a surge of insulin. Pallor, headaches, and wheezing are not symptoms of dumping syndrome.
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A patient newly diagnosed with type 2 diabetes mellitus asks the nurse why she has to take a pill instead of insulin. The nurse explains that in type 2 diabetes mellitus, the body still makes insulin
What other information is pertinent for the nurse to relay? a. Overweight and underactive people can-not simply use the insulin produced. b. Metabolism is slowed in some people, so they have to take a pill to speed up their metabolism. c. Sometimes the autoimmune system works against the action of the insulin. d. The cells become resistant to the action of insulin. Pills are given to increase the sen-sitivity.
Which of the following methods is not useful in the facilitation of both evidence-based practice and research through the identification of questions, location of literature, systematic reviews, and resources?
1. Electronic literature searches 2. Online discussion groups 3. Comparative effectiveness research (CER) 4. Digital libraries
A patient is in respiratory distress and placed on oxygen. Which is the most appropriate short-term goal?
a. Nasal cannula remains in place. b. Patient completes morning care and eats breakfast. c. Patient verbalizes that he is breathing better after lunch. d. Patient maintains an oxygen saturation of 90% during the shift.
When the nurse is dealing with a specific and actual legal problem involving a child or adolescent, which of the following actions is most important for the nurse to take?
a. Consult with legal counsel who is familiar with the laws in the state where the problem occurred. b. Select an attorney who appears to be sympathetic to pediatric clients, who has had success in similar cases, and who is willing to work with the nurse. c. Contact the nursing school where he or she graduated to see if it has free legal counsel. d. Wait to see if the problem will resolve itself without further action on the part of the nurse.