The nurse is providing care for a marathon runner who is newly diagnosed with diabetes mellitus. What explanation about exercise is best for the nurse to provide?
a. "You will need to avoid regular exercise since it will lower your blood sugar."
b. "You can still exercise, but running is too strenuous for someone with diabetes."
c. "You should always take some emergency glucose with you when you are running."
d. "Exercise is best done when insulin is peaking, so it is important to know the onset and peak of your type of insulin."
ANS: C
Persons with diabetes should always carry a quick source of sugar when exercising in case the blood glucose drops too low. D. Individuals on intermediate-acting insulin are taught to avoid exercising at the time of day when their blood glucose is at its lowest point (i.e., when insulin or medication is peaking) and to have a carbohydrate snack before exercising if blood glucose is less than 100 mg/dL. A. Exercising at similar times each day also helps prevent blood glucose fluctuations. B. Running is not too strenuous for someone who is used to doing it, but patients with neuropathy or foot problems should consult with a physician first.
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A multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk, high-volume, and high-cost types of cases is known as a ___________ ____________
ANS:
A patient presents to the clinic complaining of the inability to grasp objects with the right hand. The patient's right arm is cool and has a difference in blood pressure of more than 20 mm Hg. What would the nurse suspect this patient has?
A) PAD B) Raynaud's disease C) Upper extremity arterial occlusive disease D) Upper extremity venous insufficiency
A nurse is caring for a hospitalized child who is receiving a continuous infusion of intravenous (IV) potassium for the treatment of dehydration. The nurse monitors the child closely and noti-fies the physician if which of the following is noted?
1. Weight increase of 0.5 kg 2. Temperature of 100.8ยบ F rectally 3. Blood pressure (BP) unchanged from baseline 4. A decrease in urine output to 0.5 mL/kg/hr
A nursing instructor is asking students about diseases of adaptation and when they are likely to occur. Which student response indicates that learning has occurred?
A. "When an individual has limited experience dealing with stress" B. "When an individual inherits maladaptive genes" C. "When an individual experiences existing conditions that exacerbate stress" D. "When an individual's physiological and psychological resources have become depleted"