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A nurse is teaching a patient with diabetes about the importance of controlling blood glucose levels. Which of the following statements by the patient indicates the need for further education?
- A. I will monitor my blood sugar regularly.
- B. I can stop taking my insulin when my blood sugar is normal.
- C. I will eat a balanced diet and exercise regularly.
- D. I will avoid sugary foods to manage my blood sugar.
Correct Answer: B
Rationale: The correct answer is B because stopping insulin when blood sugar is normal can lead to hyperglycemia.
A: Monitoring blood sugar is essential for diabetes management.
C: Eating balanced diet and exercising help control blood sugar levels.
D: Avoiding sugary foods is important to manage blood sugar.
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A nurse is teaching a patient with diabetes about managing their condition. Which of the following statements by the patient indicates proper understanding?
- A. I will monitor my blood glucose regularly.
- B. I can stop taking my insulin when my blood glucose is normal.
- C. I should only use my insulin when I feel symptoms of high blood sugar.
- D. I will eat sugary foods if I feel tired or weak.
Correct Answer: A
Rationale: The correct answer is A: "I will monitor my blood glucose regularly." This statement shows proper understanding as monitoring blood glucose levels is essential for managing diabetes effectively. Regular monitoring helps the patient track their blood sugar levels and make informed decisions about medication, diet, and lifestyle.
Incorrect choices:
B: Stopping insulin when blood glucose is normal can lead to dangerous complications.
C: Using insulin only when symptoms of high blood sugar are present is not a safe or effective approach.
D: Eating sugary foods when feeling tired or weak can cause blood sugar spikes and worsen diabetes control.
In summary, choice A is correct because it reflects the importance of consistent blood glucose monitoring in diabetes management, while the other choices suggest potentially harmful misconceptions.
Which of the following would be included in a total health database for a well person?
- A. Nursing goals for the patient
- B. Anticipated growth and development patterns
- C. A patient's perception of his or her health status
- D. The nurse's perception of disease as related to this patient
Correct Answer: C
Rationale: The correct answer is C: A patient's perception of his or her health status. In a total health database for a well person, it is important to include the patient's own perception of their health status as it provides valuable insights into their overall well-being and can help detect any potential health issues early on. This information is crucial for preventive care and promoting a patient-centered approach to healthcare.
A: Nursing goals for the patient - This information would be relevant for a patient with specific health goals or conditions but not necessarily for a well person.
B: Anticipated growth and development patterns - This information is more relevant for pediatric or adolescent populations rather than for a well adult.
D: The nurse's perception of disease as related to this patient - The nurse's perception is subjective and not as valuable as the patient's own perception in understanding their health status.
When a nurse is assessing a patient's pain level, which of the following questions would be most appropriate?
- A. "How would you rate your pain on a scale from 0 to 10?"
- B. "When did your pain start?"
- C. "What causes your pain?"
- D. "Do you need any medication for the pain?"
Correct Answer: A
Rationale: Step 1: Asking the patient to rate pain on a scale of 0 to 10 is a standard pain assessment tool, allowing for quantification and tracking of pain intensity.
Step 2: This question helps in understanding the severity of pain objectively.
Step 3: It provides a baseline for further pain management interventions.
Step 4: Other choices are incorrect as they do not directly address assessing pain intensity or severity.
Summary: Option A is the most appropriate as it focuses on quantifying pain, which is crucial for effective pain management. Choices B, C, and D are not as relevant for assessing pain intensity.
A nurse is caring for a patient who has undergone a colonoscopy. The nurse should prioritize monitoring for which of the following complications?
- A. Hypotension.
- B. Bleeding or perforation.
- C. Constipation.
- D. Pain at the insertion site.
Correct Answer: B
Rationale: The correct answer is B: Bleeding or perforation. After a colonoscopy, the patient is at risk for bleeding or perforation which are serious complications requiring immediate attention. Monitoring for signs such as abdominal pain, rectal bleeding, or signs of peritonitis is crucial. Choice A is not a priority unless the patient shows signs of shock. Choice C is a common post-procedure issue but not a priority complication. Choice D, pain at the insertion site, is expected and can be managed with analgesics.
A nurse is caring for a patient with diabetes who is experiencing hypoglycemia. The nurse should prioritize which of the following interventions?
- A. Administering insulin.
- B. Providing a source of fast-acting carbohydrate.
- C. Administering an oral hypoglycemic agent.
- D. Monitoring the patient's blood pressure.
Correct Answer: B
Rationale: The correct answer is B: Providing a source of fast-acting carbohydrate. In hypoglycemia, the priority is to quickly raise the patient's blood sugar levels to prevent potential complications like seizures or loss of consciousness. Fast-acting carbohydrates, such as glucose tablets or juice, can rapidly increase blood sugar levels. Administering insulin (A) would further lower blood sugar levels, worsening the situation. Administering an oral hypoglycemic agent (C) is not appropriate in an acute hypoglycemic episode. Monitoring blood pressure (D) is important but not the priority in this situation.