Patient Data
Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?
The client will be afebrile for 24 hours
The client will have quit smoking
The client will report pain less than 3 on a pain scale of 0 to 10.
The client will remain free of skin breakdown
The client will maintain oxygen saturation of 96% without supplemental oxygen
Correct Answer : A,B,E
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While the nurse should be aware of the gap, they must first complete the assessment rather than stopping at this point.
B. Repositioning the stethoscope is not necessary if the sounds are heard clearly.
C. Thenurse should not stop or make assumptions but should continue listening to detect the reappearance of Korotkoff sounds and obtain an accurate diastolic reading.
D. Re-inflating the cuff to a higher number is unnecessary unless the initial reading was unclear or the cuff was under-inflated.
Correct Answer is ["A","B","E"]
Explanation
A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily: Staying well-hydrated is important for overall health and can help manage blood sugar levels. Adequate fluid intake also supports kidney function and helps flush excess glucose from the body.
B. Avoid foods high in refined sugars: Foods high in refined sugars can cause rapid spikes in blood glucose levels. Avoiding these foods helps maintain better blood sugar control and prevents hyperglycemia.
C. Eliminate the bedtime snack if heartburn develops after eating: While avoiding bedtime snacks may help with heartburn, it is essential to manage blood sugar levels effectively. A bedtime snack may be necessary for maintaining stable glucose levels overnight, and alternatives or adjustments should be considered.
D. Increase the percentage of protein in the diet if anemia develops: While protein is important, increasing it solely to address anemia may not be the best approach. Anemia requires a balanced diet with adequate iron and other nutrients. Specific dietary recommendations should be tailored based on comprehensive assessment and guidance from a healthcare provider.
E. Choose complex carbohydrates that are high in fiber content: Complex carbohydrates, especially those high in fiber, are digested more slowly and have a more gradual effect on blood sugar levels. Fiber helps with glucose control and provides sustained energy.
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