The practical nurse (PN) is caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision.
Which action should the PN take first?
Review prior insulin prescriptions.
Check blood pressure.
Obtain point-of-care glucose.
Assess urine for ketones.
The Correct Answer is C
The first action the PN should take is to obtain a point-of-care glucose test. This will provide immediate information about the patient's blood sugar level and help guide further interventions.
Option A, reviewing prior insulin prescriptions, is important but not the first priority.
Option B, checking blood pressure, is also important but not the most immediate concern.
Option D, assessing urine for ketones, can provide useful information about the presence of ketones in the urine, which can indicate diabetic ketoacidosis, but it is not the first action that should be taken.
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Correct Answer is B
Explanation
Amniocentesis is a prenatal test that can diagnose genetic disorders and other health issues in a fetus. A provider uses a needle to remove a small amount of amniotic fluid from inside your uterus, and then a lab tests the sample for specific conditions². It is important to empty your urinary bladder prior to the procedure ².
Correct Answer is B
Explanation
The PN should inform the client that athlete's foot is a fungal infection and that antibiotics are not effective against fungi. The client needs to use an antifungal medication to treat the infection. The other options are not accurate or appropriate responses.
Antibiotics take a week to be effective against the infection (A) is not accurate because antibiotics are not effective against fungal infections.
When the itching stops, continue to use the ointment for two weeks (C) is not appropriate because the client is using the wrong type of medication.
A thick layer of the medication is needed to stop the itching (D) is not accurate because the client is using the wrong type of medication.
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