An older adult patient is experiencing symptoms commonly associated with hyperglycemi
a. Which laboratory test is most reliable for detecting hyperglycemia in older adults?
a. A random serum glucose
b. An oral glucose tolerance test
c. An early morning urine test for glucose
d. A 24-hour urine glucose test
B
Appropriate glucose testing includes a fasting blood glucose, an oral glucose tolerance test, and the hemoglobin A1C. The other options are not appropriate.
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The nurse is evaluating the success of a bowel retraining program with a client recovering from a lower motor neuron spinal cord injury. Which observations indicate that this teaching has been successful?
Select all that apply. A) One episode of bladder incontinence in 8 hours B) Performs self-urinary catheterization every 4 hours while awake. C) Transfers to use bedside commode after breakfast to evacuate bowels. D) Two episodes of impacted stool in 1 week E) Maintains a high-fluid, high-fiber diet.
A patient has been told that her unborn child will most likely have Down syndrome. The nurse realizes this diagnosis is consistent with:
1. Trisomy. 2. Monosomy. 3. Translocation. 4. Deletions.
A nurse is working with a patient after the patient had a heart attack and is using the PLISSIT model to address sexuality needs. For the SS phase, what action by the nurse is best?
a. Ask the patient if he wants to discuss sexuality. b. Teach the patient positions that require less stress. c. Offer the patient a referral to a sex therapist. d. Direct the patient to speak with the doctor about sex.
The nurse notes the amount and color of the urine of the patient with urolithiasis. While using standard precautions, the nurse's next action would be to
a. discard the urine. b. add the urine to a 24-hour collector. c. save the urine for physician assessment. d. strain the urine.