The nurse has completed post-operative teaching for a client with a new vagal nerve stimulator (VNS). Which of the following statements by the client would indicate the need for more teaching?

My doctor can change the settings as needed.

I am so glad that I will never have another seizure.

This devise will send electrical signals to my brain.

I know a potential complication is a cough or throat spasm.

Answer and Explanation

The Correct Answer is B

A. It is correct that the doctor can change the settings of the VNS as needed using a special programming device. This is a true and expected understanding.
B. Saying "I will never have another seizure" indicates a misunderstanding. While the vagal nerve stimulator can reduce the frequency and severity of seizures, it is not a cure and does not guarantee complete seizure prevention. This statement reflects unrealistic expectations and suggests the need for further teaching.
C. The VNS sends electrical signals to the brain via the vagus nerve to help prevent seizure activity—this is an accurate understanding of its function.
D. Cough or throat spasm is a known side effect or complication of VNS, so this statement reflects appropriate understanding.

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Correct Answer is D

Explanation

A. A needle biopsy of the thyroid is typically done under local anesthesia, not general anesthesia. The client would be awake during the procedure, although they may be given a sedative to help them relax.
B. A needle biopsy is used to obtain a sample of tissue for testing, not to remove the cancer. The procedure helps diagnose the presence of cancer, but further treatment like surgery would be necessary to remove any cancer.
C. While a needle biopsy can confirm the presence of cancer, it does not provide information about the stage of cancer. Additional imaging and tests would be required to determine the stage.
D. Although the procedure typically involves inserting a needle through the skin (often without making a large incision), the biopsy involves removing a small sample of tissue for examination. This is the correct understanding of a needle biopsy.

A. Gestational diabetes B. Secondary diabetes C. Type 2 diabetes mellitus D. Type 1 diabetes mellitus

Correct Answer is D

Explanation

A. Gestational diabetes occurs during pregnancy and typically resolves after delivery. It does not typically lead to diabetic ketoacidosis (DKA), though women with gestational diabetes are at higher risk for developing type 2 diabetes later in life.
B. Secondary diabetes results from another condition (such as a hormonal disorder or medication use) and is less commonly associated with DKA.
C. While DKA can occur in type 2 diabetes, it is much more common in type 1 diabetes, especially in cases of severe insulin deficiency or missed insulin doses.
D. Diabetic ketoacidosis (DKA) is most commonly associated with type 1 diabetes mellitus. It occurs due to a severe lack of insulin, which leads to hyperglycemia, dehydration, and the production of ketones. DKA is a life-threatening complication often seen in newly diagnosed individuals or those with poor diabetes management.

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The nurse has completed post-operative teaching for a client with a new vagal nerve stimulator (VNS). Which of the following statements by the client would indicate the need for more teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has taught a client about a needle biopsy procedure, of the thyroid gland, to diagnose thyroid cancer. Which of the following statements by the client would indicate the teaching was successful?

Correct Answer is D

Explanation

The nurse is teaching a client about diabetic ketoacidosis (DKA). Which of the following types of diabetes does the client most likely have?

Correct Answer is D

Explanation

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