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?

"I will be put to sleep during this procedure."

"The doctor will be able to remove the cancer through the needle."

"After the biopsy I will know for sure if I have cancer and what stage it is."

"The doctor will make a small incision and remove a piece of the tumor."

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

A. Lispro (Humalog) is a rapid-acting insulin, and it should typically be administered about 15 minutes before or right after a meal. Administering it 30 minutes before a meal would be too early for optimal control of blood sugar levels.
B. Lispro is a rapid-acting insulin, and it is generally administered 10 to 15 minutes before a meal. This timing allows the insulin to start working quickly to manage the rise in blood glucose after eating.
C. Administering lispro 2 hours before a meal would not align with the expected timing of its action and could result in suboptimal blood glucose control.
D. While rapid-acting insulin like lispro works quickly, administering it 1 hour before a meal is not ideal. It’s best to administer it closer to the time of the meal to match the peak of insulin activity with the rise in blood sugar from the meal.

A. "Keep your feet clean and check them daily for any breaks in the skin." B. "Use a heating pad to keep hands and feet warm." C. "You should not get the pneumonia vaccine." D. "Schedule eye examinations and be sure to attend them every 5 years.

Correct Answer is A

Explanation

A. Foot care is crucial for individuals with diabetes due to the increased risk of neuropathy and poor circulation. Daily inspection for cuts, blisters, or other injuries is vital to prevent infections and complications, such as diabetic ulcers or amputations.
B. Heating pads should not be used by people with diabetes, as they may not be able to feel the heat due to diabetic neuropathy. This increases the risk of burns and injury. It is safer to use other methods for warming hands and feet, such as wearing socks or gloves.
C. People with diabetes are at an increased risk for infections, including pneumonia. The pneumonia vaccine (PPSV23 and/or PCV13) is recommended for individuals with diabetes to help reduce the risk of pneumonia. This statement is false.
D. People with diabetes should have regular eye examinations, but they should be scheduled annually, not every 5 years. Diabetes can lead to diabetic retinopathy, which can cause vision loss if not monitored and treated promptly. Annual eye exams are recommended to detect any changes early.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering prescribed lispro (Humalog) to a client with diabetes mellitus, type 2. The nurse should administer the insulin at which of the following times?

Correct Answer is B

Explanation

The nurse is providing discharge teaching to a client with diabetes mellitus, type 2. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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