When preparing a nursing care plan for an adolescent with diabetes, which concept should the nurse keep in mind?
A) More insulin is needed as adolescents begin to engage in sports.
B) More insulin is needed as more growth hormone is released during adolescence.
C) More insulin is needed as the adolescents ingests less calories.
D) More insulin is needed during sleep in adolescents.
B) More insulin is needed as more growth hormone is released during adolescence.
Explanation: A) Growth hormone, released during puberty, is a counterregulatory hormone that opposes the effects of insulin. As a result, insulin needs during adolescence increase markedly.
B) Growth hormone, released during puberty, is a counterregulatory hormone that opposes the effects of insulin. As a result, insulin needs during adolescence increase markedly.
C) Growth hormone, released during puberty, is a counterregulatory hormone that opposes the effects of insulin. As a result, insulin needs during adolescence increase markedly.
D) Growth hormone, released during puberty, is a counterregulatory hormone that opposes the effects of insulin. As a result, insulin needs during adolescence increase markedly.
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An older patient with presbycusis has been advised to purchase a hearing aid and asks about its function and use. Which information is most accurate to give the patient about the function of hearing aids?
a. Hearing aids amplify sound but do not improve the ability to hear. b. Hearing aids improve the ability to hear by intensifying the duration of sound waves. c. Hearing aids control the input of sound waves to eliminate extraneous noise. d. Hearing aids intensify sound waves and improve the ability to hear.
The nurse is serving on a panel to evaluate the hospital staff's reliance on evidence-based practice in their decision-making processes
Which practices characterize the basic competencies related to evidence-based practice? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Recognizing which clinical practices are supported by good evidence 2. Recognizing and including clinical practice supported by intuitive evidence 3. Using data in clinical work to evaluate outcomes of care 4. Including quality-improvement measures in clinical practice 5. Appraising and integrating scientific bases into practice
The nurse is talking to a parent of an infant with severe atopic dermatitis (eczema). Which response(s) should the nurse reinforce with the parent? (Select all that apply.)
a. "You can use warm wet compresses to relieve discomfort." b. "You will need to keep your infant's skin well hydrated by using a mild soap in the bath." c. "You should bathe your baby in a bubble bath two times a day." d. "You will need to prevent your baby from scratching the area by using a mild antihistamine." e. "You can try a fabric softener in the laundry to avoid rough cloth." f. "You should apply an emollient to the skin immediately after a bath."
The nurse is caring for a patient with a medical diagnosis of inflow PAD. Which symptom does the nurse expect the patient to report?
a. Very frequent episodes of rest pain b. Discomfort in the lower back, buttocks, or thighs after walking c. Burning or cramping in the calves, ankles, feet, or toes after walking d. Waking frequently at night to hang the feet off the bed