Nokea
The nurse has been teaching a patient with type 2 diabetes about managing blood glucose
levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional
teaching?
- A. “If I overeat at a meal, I will still take the usual dose of medication.”
- B. “Other medications besides the Glucotrol may affect my blood sugar.”
- C. “When I am ill, I may have to take insulin to control my blood sugar.”
- D. “My diabetes won’t cause complications because I don’t need insulin.”
Correct Answer: D
Rationale: The correct answer is D. This statement indicates a need for additional teaching because it shows a lack of understanding about diabetes complications. Here's the rationale:
1. Diabetes can lead to complications even if the patient doesn't need insulin.
2. Complications like heart disease, neuropathy, and kidney damage can still occur in type 2 diabetes.
3. Believing that not needing insulin means no complications is a misconception.
4. Patients with type 2 diabetes need to manage their condition carefully to prevent complications.
5. Therefore, educating the patient about potential complications is crucial for their overall health.
You may also like to solve these questions
Which of the following statements about time management is true?
- A. Time management is not important in nursing
- B. Writing goals will increase stress
- C. Effective time management reduces stress
- D. Setting goals is a time waster
Correct Answer: C
Rationale: The correct answer is C: Effective time management reduces stress. This is because when you manage your time well, you are able to prioritize tasks, allocate sufficient time for each activity, and avoid feeling overwhelmed. By having a clear plan and schedule, you can reduce stress levels and increase productivity.
Now, let's analyze why the other choices are incorrect:
A: Time management is not important in nursing - This is incorrect because time management is crucial in nursing to ensure patient care is delivered efficiently.
B: Writing goals will increase stress - This is incorrect as setting goals helps in providing direction and motivation, reducing stress in the long run.
D: Setting goals is a time waster - This is incorrect because setting goals helps in defining objectives and tracking progress, which is essential for effective time management.
What is the primary role of a nurse in an interdisciplinary team?
- A. To lead the healthcare team
- B. To advocate for the patient
- C. To provide emotional support to the patient
- D. To ensure compliance with regulations
Correct Answer: B
Rationale: The correct answer is B: To advocate for the patient. Nurses play a crucial role in advocating for the best interests of patients by ensuring their needs are met, promoting informed decision-making, and safeguarding their rights. Advocacy involves communication, empowerment, and promoting patient-centered care. Leading the healthcare team (A) is typically the role of a healthcare provider such as a physician or a team leader, not specifically a nurse. Providing emotional support (C) is essential for nurses, but it is not their primary role in an interdisciplinary team. Ensuring compliance with regulations (D) is important but is more aligned with administrative roles rather than the primary role of a nurse in an interdisciplinary team.
A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include?
- A. You should receive a pneumococcal vaccine when you are 65 years old.
- B. You should receive a shingles vaccine when you are 70 years old.
- C. You should receive a tetanus booster every 5 years.
- D. You should have an eye examination every 2 years.
Correct Answer: A
Rationale: Rationale: Choice A is correct because the pneumococcal vaccine is recommended for adults aged 65 and older to prevent pneumonia and other pneumococcal diseases. This recommendation aligns with the age group of the older adults at the senior living center. A shingles vaccine is actually recommended at age 50, not 70 (B). Tetanus boosters are recommended every 10 years, not 5 (C). Eye examinations are typically recommended annually, not every 2 years (D). Therefore, choice A is the most appropriate recommendation for the nurse to include in the educational program.
What is the main purpose of health informatics?
- A. To manage patient care
- B. To store patient records
- C. To enhance clinical decision making
- D. To improve healthcare policies
Correct Answer: C
Rationale: The correct answer is C: To enhance clinical decision making. Health informatics involves utilizing technology to collect, store, analyze, and present healthcare data to support clinical decision-making processes. By leveraging data and information systems, healthcare providers can access relevant information quickly and make informed decisions that improve patient outcomes.
Explanation of why the other choices are incorrect:
A: To manage patient care - While health informatics plays a role in managing patient care through data management and analysis, its primary purpose is to improve decision-making processes rather than directly managing care.
B: To store patient records - Storing patient records is an essential function of health informatics, but the main purpose goes beyond mere storage to include utilizing data to support decision-making.
D: To improve healthcare policies - Health informatics can contribute to evidence-based policymaking by providing data insights, but its main focus is on enhancing clinical decision-making rather than policy development.
An RN is writing reminders for good documentation for the nurses on her staff. The purpose is to ensure nursing documentation is legally credible. Which of the following is a recommendation she should include in the reminders?
- A. Use shortcuts in documentation.
- B. Only use approved abbreviations.
- C. Documentation should be subjective.
- D. Document after care is provided.
Correct Answer: B
Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations helps prevent misinterpretation and errors in documentation, ensuring legal credibility. Shortcuts in documentation (A) can lead to incomplete or inaccurate information. Subjective documentation (C) may lack objectivity and legal validity. Documenting after care is provided (D) may result in memory bias and inaccuracies. Therefore, emphasizing the use of approved abbreviations is crucial for ensuring accurate, clear, and legally credible nursing documentation.