The home health nurse visits a patient with a diagnosis of type 1 diabetes mellitus. The patient reports a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the patient indicates a need for further teaching?

"I was monitoring my blood glucose every 3 to 4 hours."

"I had to stop my insulin."

"I called the doctor because of these symptoms."

None of the above.

Answer and Explanation

The Correct Answer is B

When a patient with type 1 diabetes mellitus experiences vomiting, diarrhea, and has not consumed food for 24 hours, it is likely that their blood glucose levels have dropped significantly. If insulin treatment continues at the same dosage, hypoglycemia may occur. Therefore, stopping insulin treatment can be dangerous and is an indication for further teaching. Choices A and C are appropriate patient actions, indicating that the patient is monitoring the blood glucose levels and has reached out to their doctor for further management.

Therefore, these are not indications for further teaching.

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Correct Answer is ["B","D","E"]

Explanation

The client with OCD may experience difficulty relaxing and often feels tense, anxious, and irritable. They may engage in rule-conscious behavior and exhibit perfectionist tendencies, as well as experience compulsive behaviors. These behaviors may be time-consuming and interfere with daily activities.

Option A is incorrect because irrational fear of certain objects is more indicative of a phobia than OCD.

Option C is incorrect because clients with OCD are usually aware of their compulsions and may even try to resist them.

Reasons why the other options are not correct answers:

Option A: Irrational fear of certain objects is more indicative of a phobia than OCD.

Option C: Clients with OCD are usually aware of their compulsions and may even try to resist them.

A. Encourage verbalization of feelings. B. Provide an activity for diversion. C. Remain with the client. D. Have the client identify two coping skills.

Correct Answer is C

Explanation

If a client reports acute anxiety, the nurse's first priority should be to remain with the client. The nurse should provide a safe, supportive environment for the client and help the client feel less anxious. This can be accomplished by staying with the client, listening attentively to the client, and offering reassurance and support. Options A and D are appropriate actions to take when caring for a client with anxiety, but they are not the first priority.

Option B may be an appropriate intervention when caring for a client with anxiety, but it is not the first priority.

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The home health nurse visits a patient with a diagnosis of type 1 diabetes mellitus. The patient reports a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the patient indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is collecting data from a client with obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a client who reports acute anxiety. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is caring for a client in an acute care mental health unit who was involuntarily admitted for 72 hr after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

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A nurse is caring for four clients at an urgent care center. Which of the following clients should the nurse suspect has been physically abused?

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