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Exhibits

Review H and P and laboratory results. What item(s) should be included in the treatment regimen for this client? Select all that apply.

Exercise planning

Oral antidiabetic

Short acting insulin

Extra carbohydrates

Nutrition education

Weight reduction treatment

Long acting insulin

Answer and Explanation

Correct Answer : A,E,F

A. Exercise planning:

Exercise is a cornerstone of diabetes management and can help reduce cardiovascular risk factors.
Regular activity can improve cholesterol levels, particularly by increasing HDL (good cholesterol) and potentially lowering LDL (bad cholesterol).
It can also aid in weight management, which is particularly important for this client with a BMI of 28 kg/m^2.
B. Oral antidiabetic:
While oral antidiabetics are a common treatment, the client's laboratory results do not indicate a current diagnosis of diabetes, thus it may not be necessary at this stage.
C. Short acting insulin:
Short acting insulin is typically used for managing blood sugar levels in individuals with diagnosed diabetes, particularly type 1 or advanced type 2 diabetes.
There is no indication from the client's history or lab results that he requires insulin therapy at this time.
D. Extra carbohydrates:
Adding extra carbohydrates without monitoring blood glucose levels could be detrimental, especially in individuals at risk of developing diabetes.
Carbohydrates need to be carefully balanced in a diabetic diet, and the client has not been diagnosed with diabetes.
E. Nutrition education:
Education on nutrition can help the client make informed food choices to manage both blood sugar and cholesterol levels.
It can also provide guidance on portion control, which can contribute to weight management.

F. Weight reduction treatment:
Given the client's overweight status, a weight reduction plan could help lower the risk of developing diabetes.
Weight loss can also have a positive impact on cholesterol levels and overall metabolic health.
G Long acting insulin:
Long acting insulin is used to manage blood sugar levels throughout the day and is typically prescribed for individuals with diagnosed diabetes.
As with short acting insulin, there is no current indication for insulin therapy for this client.

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Correct Answer is A

Explanation

A. Initiating neurological monitoring every 2 hours is critical for a client with a TIA. This allows for early detection of any changes in neurological status, which could indicate worsening conditions or the onset of a stroke. Monitoring helps ensure prompt intervention if symptoms escalate.

B. While assessing bilateral breath sounds is important for overall respiratory function, it is not the most urgent priority in managing a TIA. Neurological assessments take precedence in this situation.

C. Reviewing the client's daily medications is important for understanding potential risk factors and management, but it is a secondary intervention. Neurological monitoring takes priority in the acute phase of care for a TIA.

D. Palpating the suprapubic region for urinary retention is more relevant in clients at risk for retention due to neurological or urological issues but is not a primary concern in managing a TIA. The focus should be on neurological function.

A. A Initiate teaching for client care after discharge. B. Evaluate and update plans of care for clients. C. Begin initial sterile wound care for surgical clients. D. Validate prescribed intravenous flow rates.

Correct Answer is D

Explanation

A. Initiating teaching for client care after discharge is not within the scope of practice for a practical nurse (PN). Teaching, particularly initial or complex teaching, is a responsibility of the registered nurse (RN) because it requires assessment, planning, and evaluation of the client’s understanding.

B. Evaluating and updating plans of care is a responsibility of the RN. This activity requires critical thinking and clinical judgment to assess client progress and make adjustments to care plans, which are outside the PN’s scope of practice.

C. Performing the initial sterile wound care for surgical clients should be done by the RN. The initial wound care requires assessment of the wound’s condition, which is a task that involves critical thinking and is beyond the PN’s scope.

D. Validating prescribed intravenous flow rates is an appropriate task for the PN. This task is within their scope of practice as it involves verifying that the IV is running as prescribed but does not require the higher-level assessment and critical thinking skills reserved for the RN.

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Exhibits Review H and P and laboratory results. What item(s) should be included in the treatment regimen for this client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When admitting a client with a diagnosis of transient ischemic attack (TIA, which intervention is most important for the nurse to include in this client's plan of care?

Correct Answer is A

Explanation

After receiving a change of shift report for clients on a medical surgical unit, which activity should the nurse delegate to the practical nurse (PN)?

Correct Answer is D

Explanation

The nurse implements a primary prevention program for sexually transmitted diseases in a nurse managed health center. Which outcome indicates that the program was effective?

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Exhibits

Review H and P and laboratory results. What item(s) should be included in the treatment regimen for this client? Select all that apply.