A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should
the nurse plan to take first?
Ask the
... [Show More] client to identify the types of foods she prefers.
the nurse should first ask the client about individual food preferences to provide an opportunity for the nurse to
include these foods in her diet. Involving the client in the planning will help promote her adherence to the dietary
plan.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL.
Which of the following findings should the nurse expect?
Diaphoresis
a client who has a blood glucose level below 70 mg/dL to exhibit manifestations of hypoglycemia. Expected findings
associated with hypoglycemia include weakness, hunger, diaphoresis, nausea, shakiness, and confusion
A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation. Which of the
following actions should the nurse take?
Assist the client to a prone position every 4 hr.
because it reduces the risk of flexion contractures.
A nurse is providing teaching to a client who has gout and urolithiasis. The client asks how to prevent future uric
acid stones. Which of the following suggestions should the nurse make? (Select all that apply.)
Take allopurinol as prescribed.
Exercise several times a week.
Limit intake of foods high in purine.
A nurse in an emergency department is assessing a client who sustained a fall off of a roof. Which of the following
findings should the nurse identify as an indication of a basilar skull fracture?
Clear fluid coming from the nares
The nurse should identify cerebrospinal fluid, which appears as a clear fluid, coming from the nares or ears as an
indication of a basilar skull fracture.
A nurse is teaching a client how to perform a breast self exam (BSE). The nurse should identify which of the
following findings as an indication of breast cancer?
A nontender, hard lump that is palpated in one breast
A nurse is providing 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.
A nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. Prior to initiating a
transfusion of packed red blood cells (RBCs), which of the following actions should the nurse take? (Select all that
apply.)
Assess and document the client's vital signs.
Verify with another nurse the blood type and Rh of the packed RBCs.
Change IV tubing to a set that has a filter.
A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the
following personal protective equipment (PPE) should the nurse don prior to providing client care? (Select all that
apply.)Gown
Gloves [Show Less]