A patient who has diabetes mellitus says to the nurse, "I've had difficulty swallowing and have felt nauseous for months. I have been taking milk of magnesia every day for constipation, too."
The nurse should recognize these statements as likely being indicative of which condition? 1. The aging process
2. Autonomic neuropathy
3. Retinopathy
4. Nephropathy
2
Rationale 1: Difficulty swallowing and nausea are not specifically attributable to aging.
Rationale 2: Gastrointestinal dysfunction caused by autonomic neuropathy causes changes in upper gastrointestinal motility (gastroparesis) resulting in dysphagia, anorexia, heartburn, nausea, vomiting, and altered blood glucose control. Constipation is one of the most common gastrointestinal manifestations associated with DM, possibly a result of hypomotility of the bowel.
Rationale 3: Nausea and difficulty swallowing are not symptoms of retinopathy.
Rationale 4: Nausea and difficulty swallowing are not symptoms of nephropathy.
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1. Semi-private room 2. Reverse-isolation room 3. Contact-isolation room 4. Private room
While evaluating the outcomes of care for a client, the nurse determines that a goal for a client has been met. Which of the following should the nurse do?
a. Reassess the situation. b. Modify the plan of care. c. Determine to either cease nursing activities or continue to maintain the outcome. d. Suggest the client be discharged.
A mother asks about the normal portion size for her 2 1/2-year-old daughter. The nurse explains:
a. The toddler should be allowed to eat until full b. The toddler should eat about to of an adult portion c. Offering a large portion will let the toddler exert control over intake d. The toddler should eat small portions (1 teaspoon) on a small plate
If you are unfamiliar with the type of bed being used for the patient, do not try to operate it.
Answer the following statement true (T) or false (F)