Which menu selection by the client diagnosed with nephrotic syndrome indicates that
teaching of proper diet was understood? You answered this question Correctly 1.
Pancakes with whipped butter, syrup, bacon, apple juice 2. Scrambled eggs, sliced
turkey, biscuit, whole milk 3. Grits, fresh fruit, toast, coffee 4. Bagel with jelly, hash
browns, tea - Rationale
2. Correct: Client needs low sodium and increased proteins. 1. Incorrect: This selection
is too high in sodium and fats. 3. Incorrect: This selection has no protein. Remember,
nephrotic syndrome is the exception to the rule of limiting protein. These clients need
increased protein to compensate for the large loss of protein in the urine. 4. Incorrect:
This selection has no protein. Remember, nephrotic syndrome is the exception to the
rule of limiting protein. These clients need increased protein to compensate for the large
loss of protein in the urine.
Following a total hip replacement, the nurse provides discharge teaching to the client.
The nurse knows that teaching was effective when the client states which activities are
safe to perform? You answered this question Correctly 1. Using an abduction pillow
while sleeping 2. Crossing the legs 3. Using a toilet extender 4. Showering rather than
taking a bath 5. Tying shoes - RationaleStrategies 1., 3., & 4. Correct: The client
should use an abduction pillow to keep hip in proper alignment and prevent hip
dislocation. A toilet extender keeps the hip in proper alignment and prevents hip
dislocation. Showering rather than sitting in a tub will prevent flexion of the hip. 2.
Incorrect: Crossing the leg can pop the hip out of place and prevent total healing and
success with the replacement. 5. Incorrect: To tie shoes, the client has to bend over
which can pop the hip out of place. The client would need to have shoes that do not
require tying or have someone do it for them.
What risk factors should the nurse include when conducting a class about type 2
diabetes mellitus? You answered this question Correctly 1. Fat distribution greater in
abdomen than in hips. 2. Being underweight. 3. Having type 1 diabetes as a child
increases risk for type 2 diabetes. 4. Caucasians are more likely to develop type 2
diabetes than Hispanics. 5. Polycystic ovary syndrome. - RationaleStrategies 1., & 5.
Correct: If the body stores fat primarily in the abdomen, risk of type 2 diabetes is greater
than if body stores fat elsewhere, such as hips and thighs. Women with polycystic ovary
syndrome have increased risk of diabetes. 2. Incorrect: Being overweight is a primary
risk factor for type 2 diabetes. The more fatty tissue, the more resistant cells become to
insulin. 3. Incorrect: A type 1 diabetic will remain a type 1 diabetic. 4. Incorrect: African
Americans, Hispanics, American Indians, and Asian Americans are more likely to
develop type 2 diabetes than Caucasians are
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