Nursing assessment of a client with type 2 diabetes reveals that the client is 5' 6" tall (167.6 cm), weighs 238 pounds (108.2 Kg), works behind a desk all day, does not exercise, and smokes 2 packs of cigarettes daily. In planning care for this client, which intervention is most important for the nurse to implement?

Instruct the client to decrease number of cigarettes smoked daily.

Discuss changing eating habits with a goal of losing 2 pounds (1 kg) per week.

Encourage other family members to be tested for diabetes mellitus.

Determine the client's feelings about being diagnosed with a chronic disease.

Answer and Explanation

The Correct Answer is B

Choice A: This is important for the client's overall health but is not the most immediate priority in managing diabetes.

Choice B: The most important intervention for this client is to address lifestyle factors that contribute to diabetes and overall health. Weight loss and dietary changes are key components of managing type 2 diabetes. The client's weight is significantly above a healthy range, and losing 2 pounds (1 kg) per week is a reasonable and safe goal.

Choice C: Encouraging family members to be tested for diabetes is relevant but does not directly address the client's own management of the condition.

Choice D: Determining the client's feelings about the diagnosis is important for emotional support but does not directly address the client's physical health and diabetes management.

Nursing Test Bank

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Correct Answer is C

Explanation

Choice A: This is not specifically related to the side effects of phenytoin.

Choice B: This is not directly related to the common side effects of phenytoin, which primarily affect the oral cavity.

Choice C: Phenytoin (Dilantin) is known to cause gingival hyperplasia (enlargement of the gums) as a common side effect. The nurse should regularly inspect the client's mouth to monitor for this adverse effect.

Choice D: This is not specifically relevant to monitoring for phenytoin's side effects.

A. Oranges B. Fortified milk. C. Bananas D. Apple juice.

Correct Answer is B

Explanation

Choice A: Oranges are a good source of vitamin C, which is important for overall health, but they are not the primary dietary source for preventing rickets.

Choice B: Fortified milk is the best dietary source for preventing rickets because it is enriched with vitamin D, which is essential for calcium absorption and bone health. Vitamin D helps prevent rickets by promoting the absorption of calcium and phosphate in the body, which are necessary for proper bone development.

Choice C: Bananas are a good source of potassium but are not a primary dietary source for preventing rickets.

Choice D: Apple juice is not a primary dietary source for preventing rickets. While it may provide some vitamins and minerals, it is not directly associated with preventing this condition.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What assessment technique should the nurse use to monitor a client for a common untoward effect of phenytoin (Dilantin)?

Correct Answer is C

Explanation

In conducting community health teaching, the nurse plans to describe foods that will help prevent rickets. What food product should the nurse recommend as the best dietary source for preventing rickets?

Correct Answer is B

Explanation

A client who is multiparous on the postpartum unit reports intense cramping while breastfeeding. What instruction should the nurse provide to this client?

The healthcare provider prescribes amoxicillin-clavulanic acid suspension 300 mg by mouth (PO) three times daily (TID) for a child with a lower respiratory infection. The bottle is labeled," 250 mg/5 mL. How many mL should the nurse administer in a single dose? (Enter numeric value only.)

An adult client receives a prescription for permethrin (Acticin Cream 5%) to treat an infestation of scabies. The nurse instructs the client to massage the cream into the skin from the head to the soles of the feet, avoiding the eyes. Which additional instruction should the nurse provide?

A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?

An adult male client with chronic kidney disease (CKD) is receiving aluminum hydroxide (Amphojel). He tells the nurse that since he does not have indigestion there is no need for him to take the antacid with his meals. Which response is best for the nurse to provide?

Which client is at greatest risk for aspiration?