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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 D

Explanation

- Choice A Rationale: Assuming care of the client and assigning the PN to another client would disrupt the workflow and could lead to confusion. It is important for continuity of care that the PN who began the procedure with the client carries it through to completion.
- Choice B Rationale: Arranging for unlicensed assistive personnel to assist may not be appropriate as they may not have the training or skills required to assist with a sigmoidoscopy, which could compromise patient safety and the integrity of the procedure.
- Choice C Rationale: Acknowledging that the PN has positioned the client safely and correctly would be incorrect because a flat prone position is not the recommended position for a sigmoidoscopy, which typically requires the client to be in a left lateral or Sims' position.
- Choice D Rationale: Demonstrating to the PN how to position the client more effectively is the correct action because it ensures that the client is in the proper position for a sigmoidoscopy, which can enhance the effectiveness of the procedure and patient comfort.

A. Have the client breathe into a paper bag. B. Ask the client to take short, rapid breaths. C. Instruct the client in pursed lip breathing. D. Increase oxygen to three L/minute.

Correct Answer is C

Explanation

A. Having the client breathe into a paper bag is a technique sometimes used for anxiety-induced hyperventilation but is not appropriate for a client with chronic obstructive lung disease experiencing shortness of breath. It can lead to a buildup of carbon dioxide, worsening the client's condition.
B. Asking the client to take short, rapid breaths may exacerbate hyperventilation and increase the client's anxiety. This breathing pattern can lead to further respiratory distress in a client with
chronic obstructive lung disease.
C. Instructing the client in pursed lip breathing is the most appropriate action. Pursed lip breathing helps to prolong exhalation, reduce air trapping, and improve gas exchange in clients with chronic obstructive lung disease. It can help alleviate shortness of breath and promote relaxation.
D. Increasing oxygen to three L/minute may not be necessary and could potentially lead to oxygen toxicity. The priority is to help the client manage their shortness of breath effectively through breathing techniques.

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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

The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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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.