Before administering a scheduled dose of insulin to a 10-year-old child who is learning diabetic self-care, which information is most important for the practical nurse (PN) to ask the child?

- A terminally ill client is a client who has a progressive and incurable disease or condition that is expected to result in death within a short period of time, such as months or weeks. A terminally ill client may require palliative care, which is the care that focuses on relieving pain and suffering and improving the quality of life for the client and their family.
- An admission assessment is the process of collecting information about a client's health status, needs, preferences, and goals when they are admitted to a health care facility, such as a hospital, nursing home, or hospice. An admission assessment helps to establish a baseline for the client's condition, plan and implement appropriate interventions, and evaluate the outcomes of care.
- A health care proxy is a legal document that allows a client to appoint another person, such as a family member or a friend, to make health care decisions for them if they become unable to do so themselves. A health care proxy may also include specific instructions or preferences about the type and extent of care that the client wishes to receive or refuse, such as life-sustaining treatments, resuscitation, or organ donation.
- Health care proxy documentation is important information that the practical nurse (PN) should collect during the admission assessment of a terminally ill client to an acute care facility, as it reflects the client's autonomy, dignity, and wishes regarding their end-of-life care. It also helps to ensure that the client's healthcare decisions are respected and followed by the healthcare team and the facility.

- Therefore, option A is the correct answer, while options B, C, and D are incorrect.

While the use of cocaine and heroin can pose various health risks, including cardiovascular complications, respiratory problems, and infectious diseases, Hepatitis is particularly associated with injection drug use, such as heroin. Hepatitis is an inflammation of the liver that can be caused by viral infections, including Hepatitis B and C. Sharing contaminated needles or other drug paraphernalia increases the risk of contracting Hepatitis. These viral infections can lead to chronic liver disease, liver cirrhosis, and even liver cancer if left untreated. Therefore, among the options provided, Hepatitis is the greatest health risk for this client due to the mode of drug administration and associated risks of viral transmission.

A, B, and C- It's important to note that while diabetes, glaucoma, and hypertension are all significant health conditions, they are not directly associated with the use of cocaine and heroin as drugs of choice. However, individuals who engage in substance abuse may still be at risk for developing or exacerbating other health conditions due to the overall impact on their physical and mental well-being.