A client screened for diabetes has a fasting plasma glucose level of 120 mg/dL. The nurse will plan to teach the client about:

maintenance of a healthy weight.

use of low doses of insulin regular.

oral hypoglycemic agents.

self-monitoring of blood glucose.

Answer and Explanation

The Correct Answer is A

A.   Teaching the client about maintaining a healthy weight is crucial, as weight management is a key factor in preventing the progression from prediabetes to type 2 diabetes. Losing even a small percentage of body weight can significantly improve insulin sensitivity and reduce the risk of developing diabetes.

B.   At a fasting plasma glucose level of 120 mg/dL, the client is not at the stage where insulin therapy is indicated. Insulin is typically reserved for those with diabetes who require it for glycemic control. The focus should be on lifestyle changes rather than pharmacological treatment at this time.
C.   Similar to insulin, oral hypoglycemic agents are generally not prescribed for clients with prediabetes. The goal is to manage blood glucose levels through lifestyle changes, and medication is typically introduced only if the client progresses to diabetes.
D.   While self-monitoring of blood glucose is important for individuals with diabetes, it may not be necessary for someone with a fasting plasma glucose level of 120 mg/dL unless specifically indicated by a healthcare provider. Education could include how to monitor if they develop diabetes in the future, but the immediate focus should be on prevention strategies.

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Correct Answer is ["0.5"]

Explanation

Volume to administer (mL)=( Desired dose (mcg)/Available concentration (mcg/mL) 100 mcg is in 2 mL, so the concentration is:
100 mcg/2 Ml =50 mcg/mL
Volume to administer =25 mcg/ 50 mcg/mL=0.5mL
So, the nurse will administer 0.5 mL of fentanyl for the correct dose.

A. Instruct the client how to perform biofeedback exercises B. Place the client's residual limb in the dependent position C. Explain to the client his left leg has been amputated D. Medicate the client with narcotic analgesic immediately

Correct Answer is D

Explanation

A. While biofeedback can be a helpful technique for managing pain in the long term, it is not an immediate intervention for acute pain. The client is expressing urgent pain that requires prompt action, so this option does not address the immediate need.
B. Placing the residual limb in a dependent position (below the level of the heart) can increase swelling and may worsen the pain. After surgery, the limb should typically be elevated to minimize swelling, especially in the early postoperative period.

C. While it is important for clients to understand their situation, explaining the amputation does not provide immediate relief for acute pain. The client is likely already aware of the amputation and is in distress, so this option is not a priority at this moment.
D. This is the most appropriate intervention. The client is experiencing significant pain, and administering a narcotic analgesic can provide immediate relief. Pain management is a priority in the postoperative setting, especially in the first few hours after surgery.

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A client screened for diabetes has a fasting plasma glucose level of 120 mg/dL. The nurse will plan to teach the client about:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse must give 25 micrograms of fentanyl IVP X 1 dose. Fentanyl is available in an ampule 100 micrograms per 2mL. How many mL will the nurse give for the correct dose? round to the nearest tenth. Use a preceding zero if necessary. Do not use trailing zeros.

Correct Answer is ["0.5"]

Explanation

The nurse is caring for a client who is three hours postoperative left leg below the knee amputation (BKA). The client tells the nurse. "My left foot is killing me. Please do something!" Which intervention should the nurse implement?

Correct Answer is D

Explanation

The nurse recognizes that teaching a client to wash the hands after using the bathroom is an attempt to break the chain of infection between the:

The nurse is caring for a client who has returned to the nursing unit from the post anesthesia care unit (PACU) 40 minutes ago following an above the knee amputation (AKA) of the right leg. In which position should the nurse place the client at this time?

The nurse is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication? (SELECT ALL THAT APPLY)

The nurse is teaching an adult client with Type 1 diabetes that causes for the development of diabetic ketoacidosis (DKA) are (SELECT ALL THAT APPLY)

A client on glipizide, a sulfonylurea, reports to the nurse feeling anxious, sweaty & has a headache. The nurse's initial action is to:

A nurse is aware that which of the following social inequities are correlated with increased diabetes prevalence & more severe complications of diabetes? (SELECT ALL THAT APPLY)