The nurse is reviewing a client's medical history. Which factors would indicate that client is at risk for the development of diabetes? (Select all that apply.)
a. triglyceride level of 199 mg/dL d. blood pressure of 138/78
b. first child weighed 9 lbs 3 oz e. taking antihyperten-sive medications
c. body mass index of 32 f. great uncle who was diabetic
B, C, E
The criteria for those who should be screened for diabetes include triglyceride level of 250 mg/dL or greater, hypertension, gestational diabetes, having a child weighing over 9 lbs, immediate family history, at-risk ethnic group, high-density lipoprotein (HDL) of 35 mg/dL or less, and having one of the two precursors of diabetes.
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Which of the following male reproductive disorders resembles a "bag of worms" on inspection?
A. Spermatocele B. Hydrocele C. Varicocele D. None of the above
Parents of a child with hemophilia A ask the nurse, "What is the deficiency with this disorder?" Which correct response should the nurse make?
a. "Hemophilia A has a deficiency in red blood cells." b. "Hemophilia A has a deficiency in platelets." c. "Hemophilia A has a deficiency in factor IX." d. "Hemophilia A has a deficiency in factor VIII."
A patient recovering from abdominal surgery is refusing hydromorphone (Dilaudid) because she has heard that people may become addicted. She is crying and rates her pain 10 of 10
Which information should the nurse include as part of the patient's education? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Because the patient will take the medication on a prn basis, addiction cannot occur. 2. Untreated pain can result in poor wound healing. 3. Patients with uncontrolled pain have a higher risk of blood clots. 4. Dehydration can result from poorly managed pain. 5. Family members do not want to visit patients with visible signs of pain.
A client with chronic obstructive pulmonary disease (COPD) has a pulse oximetry reading of 93%, increased red blood and white blood cell count, temperature of 101°F, pulse 100, respirations 35, and a chest x-ray that showed a flattened diaphragm
with infiltrates. Which of the following orders would the nurse be concerned about for this client? 1. Antibiotic therapy 2. Oxygen by nasal cannula at 3–4 liters/minute 3. Bronchodilators such as an adrenergic stimulating drugs or anticholinergic agents 4. Nonsteroidal anti-inflammatory agents