A patient newly diagnosed with diabetes expresses concern about losing her vision. Which intervention(s) should be included in the plan of care to reduce this risk? (Select all that apply.)

a. Initiation of reliable contraception to prevent pregnancy
b. Ways to reduce hyperglycemic episodes
c. Use of a prokinetic drug (eg, metoclopramide)
d. Smoking cessation
e. Emphasis on the importance of taking antihypertensive drugs consistently


B, D, E
Tighter glycemic control and fewer hyperglycemic episodes have been correlated with fewer complications. Smoking cessation and following strict compliance to any antihypertensive drugs prescribed for hypertension also help reduce the risk of complications.
The use of contraception or a prokinetic drug is not related to a reduced risk of vision loss in pa-tients with diabetes.

Nursing

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A team leader is making out the patient care assignment. A new patient needs several extensive dressing changes for open diabetic wounds, a nasogastric (NG) tube feeding, and irrigation of the Foley catheter as needed

Which member of the care team is best suited for this assignment? a. Nurse aide A, who has had 10 years' ex-perience working at this facility, especially because this room is on the hall area where this NA is usually assigned b. Nurse aide B, who has just been employed but has recently been through the state nurse aide certificate program and needs the experience of these treatment modali-ties c. Nurse aide C, who is always asking for something new to try out and who is at-tending LPN/LVN school in off-duty hours d. LPN/LVN C because these treatments are covered under the LPN/LVN state prac-tice act

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While a child is being admitting to the hospital, the parent receives information about the pediatric unit's goals, including the statement that the unit practices family-centered care. The parent asks why that is important

The nurse responds that what communication dynamic is characteristic of the family-centered care paradigm? 1. The mother is the principal caregiver in each family. 2. The child's physician is the key person in ensuring the health of a child is maintained. 3. The family serves as the constant influence and continuing support in the child's life. 4. The father is the leader in each home; thus, all communications should include him.

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After teaching a group of students about agents associated with chemical warfare, the instructor determines that additional teaching is needed when the students identify which as an example?

A) Explosives B) Nerve agents C) Anthrax D) Jet fuel

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The nurse is caring for a patient with anorexia nervosa. Which intervention(s) might the nurse use to stimulate appetite? (select all that apply.)

a. Offer oral care after meals. b. Arrange for preferred foods to be served. c. Encourage family members to bring food from home. d. Suggest that family members or friends come and socialize during the meal. e. Allow ample time to eat and enjoy the meal.

Nursing