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8.
A geriatric client, newly diagnosed with diabetes, is being discharged. She is alert, oriented and able to independentlymaintain her activities of daily living. Treatment will consist of a 1500-caloric diabetic diet, insulin, and regular exercise bywalking 30 minutes a day. What is a priority concern at the time the client is discharged?a.
Does the client have adequate vision and manual dexterity to administer her own insulin?b.
Does the client understand the impact diabetes will have on her lifestyle?c.
Since the client is living alone, does she need Home Health Care to check on her daily?d.
Does the client understand how to perform her daily urinary sugar and acetone determinations?
It is very important that the geriatric client have the visual and manual skills to administer their insulin. Options #2 and #3 areimportant to determine; but Option #1 is a priority. Urinary tests are not commonly used to monitor diabetics
.9.
The family members of an 85-year-old think their father is masturbating. Which response by the nurse would be best?a.
"I understand your concern because this is not a normal part of aging."b.
"I would not worry about this behavior. He will stop soon."c.
"This is considered a normal behavior."d.
"The best thing you can do is talk to your father about this behavior."
Masturbation is an activity that some elderly engage in. Options #1 and #2 are inappropriate. Option #4 might embarrass thefather and may cause feelings of guilt and anxiety.
10.
The parents of a child who has just been diagnosed with a chronic illness are concerned about the sibling's sudden changein behavior. Which response by the nurse would be best? "Her brother is:a.
feeling left out right now, but we plan to include him in his sister's care."b.
feeling left out right now but will start acting normal soon."c.
worried about her and is just reacting to his fear."d.
going through a normal developmental stage."
Total family participation is encouraged when the sibling is included. Options #2 and #3 may be appropriate but do not help thefamily adjust. Option #4 is incorrect since the sibling is reacting to his sister's illness.
11.
A mother tells you that the 7-year-old sibling of a child with cystic fibrosis is having difficulty in school, fights frequently withplaymates and throws his toys. Which response by the nurse would be best?a.
"Did he have these behaviors before his sister was diagnosed?"b.
"That is typical of 7-year-olds."c.
"Spend time with each child daily, and it will stop."d.
"He is jealous of the attention his sister is receiving."
Obtain information about his behavior before the diagnosis to be able to assess a cause for the disruptive behavior. Option #2 isnot accurate. Options #3 and #4 may be correct. However, the nurse must assess behavior prior to his sibling's illness.
12.
During a discussion with the nurse, parents share their feelings of frustration with their 14-year-old who refuses to wear aback brace after surgery for scoliosis. The nurse's best response would be that the teenager is probably concerned with:a.
her image.b.
being separated from her peersc.
loss of control.d.
physical discomfort.
Adolescents have a concern with their image. Erikson has identified this state as "Identity versus Role Diffusion." Option #2 is aconcern of this stage, but is not appropriate for what the question is asking. Option #3 is more appropriate for a school-age child.Option #4 is incorrect for this situation.
13.
A pelvic exam is planned on a 15-year-old client with sharp bilateral pelvic pain. Which nursing action would be mostappropriate?a.
Request removal of all clothing.b.
Collect a urine and fecal specimen.c.
Give a brief explanation of the procedure.d.
Begin health teaching related to sexually-transmitted diseases.
Preparation of client is important for all procedures, especially in this case. A pelvic exam can be extremely embarrassing for a 15-year-old. Options #1, #2, and #4 are appropriate after explanation and client preparation, or after the procedure is completed.
14.
A hypertensive client returns to the clinic for reevaluation of his medication. His blood pressure is 180/100. The nursequestions the client regarding how he is taking his medication. What response by the client indicates that he understandsand has been taking the medication as prescribed?a.
"I take my medication every morning. If my blood pressure is high, I take another dose in the evening."b.
"I take my medication every day at the same time regardless of how I feel. I have not missed any doses."c.
"I take my medication every day and make sure that I drink a large amount of liquid each time I take it."d.
"If I have a headache, I don't take my medication. If I miss the morning dose, then I take two pills in the evening."
This option best describes how the client should take the medication for hypertension. It is important that he take it every day.However, it may be a problem if he is consuming a large amount of water during the day. If he is taking the medication correctly,he needs to have the medication reevaluated since his blood pressure remains high.
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