After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse's appropriate response is:

• A."No vegetable exchanges are allowed."
• B."Corn and other starchy vegetables are considered to be bread exchanges."
• C."Yes, you may exchange any vegetable for any other vegetable."
• D."Yes, but only one-half ear is allowed."

Comment: *

Name: *

Email: *

Verification: *

A male client was diagnosed 6 months ago with amyotrophic lateral sclerosis (ALS). The progression of the disease has been aggressive. He is unable to maintain his personal hygiene without assistance.
Ambulation is most difficult, requiring him to use a wheelchair and rely on assistance for mobility. He recently has become severely dysphasic. Nursing interventions for dysphasia would be aimed toward prevention of:

• A.Loss of ability to speak and communicate effectively
• B.Aspiration and weight loss
• C.Secondary infection resulting from poor oral hygiene
• D.Drooling

Comment: *

Name: *

Email: *

Verification: *

A female client plans to bottle-feed her newborn. Her physician has ordered bromocriptine (Parlodel) to suppress lactation. Which of the following instructions about bromocriptine should be given by the nurse?

• A.Bromocriptine stimulates the production of prolactin.
• B.Hypertension is a primary side effect.
• C.Bromocriptine is generally taken for 5 days.
• D.Her blood pressure must be stable before starting bromocriptine.

Comment: *

Name: *

Email: *

Verification: *

A female client has been diagnosed with chronic renal failure. She is a candidate for either peritoneal dialysis or hemodialysis and must make a choice between the two. Which information should the nurse give her to help her decide?

• A.Hemodialysis involves less time to filter the blood; but the client must consider travel time, distance, and inconvenience.
• B.Hemodialysis involves more time to filter the blood than does peritoneal dialysis.
• C.Peritoneal dialysis has almost no complications and is less time consuming than hemodialysis. Therefore it is preferred.
• D.Peritoneal dialysis requires that a home health nurse prepare and administer the treatments.

Comment: *

Name: *

Email: *

Verification: *

A 40-year-old client has lived for 8 years with an abusive spouse. She married her husband in her senior year of high school after becoming pregnant. Shortly after the baby was born, he began to physically abuse her. She has attempted to leave him several times, but she has always returned. She is unable to support herself financially, and her husband threatens to kill her if she leaves him. This time, her husband has beaten her so badly she cannot stop the bleeding from the gash above her eye. She admits her husband caused her injury. In assessing a person after experiencing spousal abuse, which need has the highest priority?

• A.Assess the level of anxiety, coping responses, and support systems.
• B.Assess the history of physical abuse.
• C.Assess suicide potential.
• D.Assess drug and alcohol use.

Comment: *

Name: *

Email: *

Verification: *