A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 9%. On the basis of this test result, the nurse plans to reinforce teaching the client about the need for which measure?
Preventing and recognizing hyperglycemia
The parents of an 8-year-old child tell the nurse that they are concerned about the child because the child seems to be more attentive to friends than anyone else. What is the appropriate nursing response?
At this age, the child is developing his or her own personality.
The parent of a 3-year-old tells the nurse that the child is constantly rebelling and having temper tantrums. What instruction would the nurse reinforce to the parent?
Set limits on the child's behavior
The nurse is assigned to care for the client during the postpartum period. The client asks the nurse what the term involution means. Which description would the nurse give to the client?
The progressive descent of the uterus into the pelvic cavity, which occurs at a rate of approximately 1 cm/day
A mother is breast-feeding her newborn baby and experiences breast engorgement. The nurse would encourage the mother to do which to provide relief of the engorgement?
Massage the breasts before feeding to stimulate let-down
The nurse is reinforcing measures regarding the care of the newborn with a mother. To bathe the newborn, the mother would be taught which intervention?
Begin with the eyes and face
The nurse reinforces home-care instructions to the parents of a child with celiac disease. Which food item would the nurse advise the parents to include in the child's diet?
Rice
The nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper foot care. Which instruction would be included in the plan of care?
Apply a moisturizing lotion to dry feet, but not between the toes.
The nurse is preparing to perform an abdominal examination. Which step would be taken first?
Inspection
A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot. The nurse also notes superficial thrombophlebitis of the lower leg. Next, the nurse would check the client's medical history for which item?
Smoking history
The nurse is reviewing the medical record of a client with a diagnosis of pyelonephritis. Which disorder noted on the client's record would the nurse identify as a risk factor for this diagnosis?
Diabetes mellitus
The nurse notes that the primary health care provider (PHCP) has documented a diagnosis of presbycusis on the client's chart. Which explanation would the nurse give to the client to explain this condition?
A sensorineural hearing loss that occurs with aging
A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma?
Cardiovascular disease
The nurse is caring for a client who is taking phenytoin for control of seizures. During data collection, the nurse notes that the client is taking birth control pills. Which information would the nurse provide to the client?
The potential for decreased effectiveness of the birth control pills exists while taking phenytoin.
The nurse is assisting with the administration of immunizations at a health care clinic. The nurse would understand that immunization provides which protection?
Acquired immunity from disease
The camp nurse prepares to instruct a group of children about Lyme disease. Which information would the nurse include in the instructions?
Lyme disease is caused by a tick carried by deer.
