A patient with type 1 diabetes mellitus is being discharged home after an episode of diabetic ketoacidosis (DKA). What should the nurse most emphasize in discharge teaching?
A) Insulin therapy may be discontinued after several months.
B) The patient needs supplemental insulin even when not eating.
C) Blood sugar is best regulated by use of long-lasting insulin preparations.
D) Blood sugar can be regulated by diet if the patient is very careful.
B
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A nurse is caring for a client with cancer who is receiving chemotherapy. The client develops thrombocytopenia related to bone marrow dysfunction. The priority intervention for this client would be to monitor the:
a. client for skin infections c. client for bleeding b. client's temperature d. client for pathological fractures
The parent of an adolescent who has taken methylphenidate 20 mg/day for 6 months for attention deficit/hyperactivity disorder (ADHD) brings the child to clinic for evaluation of a recent onset of nausea, vomiting, and headaches
The parent expresses concern that the child seems less focused and more hyperactive than before. What will the nurse do next? a. Ask the child whether the drug is being taken as prescribed. b. Contact the provider to discuss increasing the dose to 30 mg/day. c. Recommend taking the drug with meals to reduce gastrointestinal side effects. d. Report signs of drug toxicity to the patient's provider.
When teaching a client about beta blockers, what should the nurse include in the teaching plan regarding what can occur with abrupt discontinuation?
1. Dry mouth and painful urination 2. Dizziness and coma 3. Chest pain and rebound hypertension 4. Cramping and constipation
A patient has been receiving erythropoietin (Epogen). Which statement by the patient indicates that the therapy is producing the desired effect?
a. "I can do my housework with less fatique" b. " I have been passing more urine that I was before." c. " I have less pain and discomfort now." d. " I can swallow and eat much better than before."