A nurse is planning dietary Ask the client to identify the types of foods she prefers.
teaching for a client who
has diabetes mellitus. Which the nurse should first ask the client about individual food
of the following actions preferences to provide an opportunity for the nurse to
should the nurse plan to include these foods in her diet. Involving the client in the
take first? planning will help promote her adherence to the dietary
plan.
Obtain sample menus from
the dietitian to give to the
client.
Ask the client to identify the
types of foods she prefers.
Identify the recommended
range for the client's blood
glucose level.
Discuss long-term
complications that can
result from nonadherence
to the dietary plan.
,A nurse is caring for a client Diaphoresis
who has type 1 diabetes
mellitus and a capillary a client who has a blood glucose level below 70 mg/dL
blood glucose reading of to exhibit manifestations of hypoglycemia. Expected
48 mg/dL. Which of the findings associated with hypoglycemia include
following findings should weakness, hunger, diaphoresis, nausea, shakiness, and
the nurse expect? confusion
A nurse is caring for a client Assist the client to a prone position every 4 hr.
who is 72 hr postoperative
following an above-the- because it reduces the risk of flexion contractures.
knee amputation. Which of
the following actions should
the nurse take?
Elevate the residual limb on
a soft pillow.
Assist the client to a prone
position every 4 hr.
Reapply a bandage to the
residual limb every 12 hr.
Apply dressings to the site
in a proximal-to-distal
direction.
,A nurse is providing Take allopurinol as prescribed.
teaching to a client who has Exercise several times a week.
gout and urolithiasis. The Limit intake of foods high in purine.
client asks how to prevent
future uric acid stones.
Which of the following
suggestions should the
nurse make? (Select all that
apply.)
A. Take allopurinol as
prescribed.
B. Exercise several times a
week.
C. Limit intake of foods high
in purine.
D. Decrease daily fluid
intake.
E. Avoid citrus juices.
A nurse in an emergency Clear fluid coming from the nares
department is assessing a
client who sustained a fall The nurse should identify cerebrospinal fluid, which
off of a roof. Which of the appears as a clear fluid, coming from the nares or ears
following findings should as an indication of a basilar skull fracture.
the nurse identify as an
indication of a basilar skull
fracture?
A depressed fracture of the
forehead
Clear fluid coming from the
nares
Motor loss on one side of
the body
Bleeding from the top of
the scalp
, A nurse is teaching a client A nontender, hard lump that is palpated in one breast
how to perform a breast
self exam (BSE). The nurse
should identify which of the
following findings as an
indication of breast cancer?
Lumps that are mobile and
tender upon palpation prior
to a menstrual period
Multiple round masses that
are tender and found in
both breasts
Bilaterally darkened areolas
A nontender, hard lump that
is palpated in one breast
A nurse is providing Use pursed-lip breathing during periods of dyspnea.
discharge teaching about
improving gas exchange to
a client who has
emphysema. Which of the
following instructions
should the nurse include in
the teaching?
Use pursed-lip breathing
during periods of dyspnea.
Limit fluid intake to 1,500 mL
per day.
Practice chest breathing
each day.
Wear home oxygen to
maintain an SaO2 of at least
94%.
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