Nokea
To reduce or eliminate the symptoms that a client with functional hypoglycemia experiences, it is best for the nurse to recommend eating five or six small meals containing which nutrient?
- A. Simple sugars
- B. Complete proteins
- C. Complex carbohydrates
- D. Unsaturated fats
Correct Answer: C
Rationale: Complex carbohydrates provide a steady glucose release, preventing hypoglycemic episodes.
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A friend brings the older adult homeless client to a free health screening clinic. The friend is unable to continue administering the client's morning and evening insulin dose for treating type 1 DM. When advocating for this client, which action by the nurse is most appropriate?
- A. Notify Adult Protective Services about the client's condition and living situation.
- B. Ask where the client lives and whether someone else could administer the insulin.
- C. Arrange with a local homeless shelter to have someone give the insulin injections.
- D. Have the client return to the screening clinic morning and evening to receive the injections.
Correct Answer: C
Rationale: The nurse advocates by ensuring that the client has access to health care services. The nurse should contact a social worker whose role it is to make placement arrangements.
After the test, the nurse provides the client with instructions. Which statement of the nurse is most accurate?
- A. You must remain isolated until the radiation level decreases sufficiently.
- B. You're free to go without further precautionary instructions.
- C. You must follow special precautions for a short period of time.
- D. You'll be given an antidote to reduce the radioactivity level.
Correct Answer: C
Rationale: A radioactive iodine uptake test involves low levels of radiation, requiring short-term precautions such as avoiding close contact with others.
The nurse is discussing complications of chronic pancreatitis with a client diagnosed with the disease. Which complication should the nurse discuss with the client?
- A. Diabetes insipidus (DI).
- B. Crohn's disease.
- C. Narcotic addiction.
- D. Peritonitis.
Correct Answer: C
Rationale: Chronic pancreatitis often requires long-term pain management, risking narcotic addiction. DI, Crohn’s, and peritonitis are unrelated complications.
The nurse is caring for the client with Addisonian crisis. Which clinical change should indicate to the nurse that the therapy is effective?
- A. Increase of 25 mm Hg in the client's blood pressure
- B. Decrease of 25 mm Hg in the systolic blood pressure
- C. Increase in serum potassium from 3.4 to 5.8 mEq/dL
- D. Decrease in serum sodium from 146 to 136 mEq/L
Correct Answer: A
Rationale: An increase in BP indicates effective therapy by correcting hypotension from sodium and water depletion.
The nurse is caring for the client with SIADH. Which interventions should the nurse plan to implement? Select all that apply.
- A. Obtain the weight near the same time each morning.
- B. Place the client on a fluid-restricted diet as prescribed.
- C. Prepare to give a 500-mL NaCl intravenous fluid bolus.
- D. Administer furosemide intravenously as prescribed.
- E. Monitor for hyperactive reflexes and heightened alertness.
Correct Answer: A,B,D
Rationale: Daily weights monitor fluid retention, fluid restriction treats hyponatremia, and furosemide addresses fluid overload in SIADH.