A 14-year-old female who has type 1 diabetes mellitus that has been well-controlled for several years is admitted to the hospital for treatment of severe hyperglycemia. The patient's lab values indicate poor glycemic control for the past 3 months
The nurse caring for this patient will suspect which cause for the change in diabetic control?
a. Adolescent rebellion and noncompliance
b. Changes in cognitive function
c. Hormonal fluctuations
d. Possible experimentation with drugs or alcohol
ANS: C
In adolescence, hormonal changes and growth spurts may necessitate changes in medication dosages; many children with chronic illness require dosage adjustments in the early teen years.
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The patient is a 46-year-old woman who is a devout Muslim and who is being evaluated for weight-loss surgery. One aspect of the comprehensive bariatric program is that clients begin an exercise program
The patient is self-conscious about her weight and concerned about maintaining her modesty. Which of the following exercise programs would be the best choice for the nurse to suggest? a. A private trainer at a local fitness center b. An aerobics class at the local YMCA c. The evening yoga class at a local country club d. Walking 30 minutes a day at the mall with a friend
The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point would the nurse place in bold letters?
A) Common age-groups for clients with sexually transmitted diseases are in their late teens and 20s. B) Many people are asymptomatic and show no symptoms contributing to the spread of the disease. C) Some sexually transmitted diseases can cause infertility caused by scarring of reproductive organs. D) Some sexually transmitted diseases can be transmitted to newborns through the birth canal.
Which of the following is a purpose of affective touch in the context of nursing?
A) Demonstrating concern B) Providing contact for performing procedures C) Encouraging verbal communication D) Providing brief periods for response
A client comes into the clinic complaining of arthritic symptoms. In reviewing the chart, the nurse notices that the client had been in the clinic approximately 3 weeks ago. At that time, the client was treated for a foodborne illness
Which of the following foodborne illnesses may result in arthritic symptoms 3 to 4 weeks after the onset of the acute illness? A) Shigellosis B) Listeriosis C) Salmonellosis D) Botulism