Medical - Surgery|100 Question Review-98% Corrected|-2021

Which of the following is an important component of a teaching plan for the client recently diagnosed with peptic ulcer diseaA nurse admits a 42-year-old female with the following characteristics: excessive sleeping, fatigue, constipation, weight gain, and complaint of intolerance to cold. These signs and symptoms are most consistent with:A client newly diagnosed with HIV says to the nurse, "I can't believe this is happening. There must be some new treatments that can help." The most appropriate nursing diagnosis for this client based on his comments would be:A Type I diabetic is prescribed to take Regular and NPH insulin before breakfast. The client administers his insulin at 6:00 a.m. prior to breakfast. The nurse should teach the client to: Incorrect: The onset of NPH insulin is approximately 1-2 hours with peak effect between 6-12 hours. Therefore a snack eaten between breakfast and lunch, when the NPH insulin is beginning to reach it's peak action would be important to prevent hypoglycemia before lunch. In addition, regular or quick acting insulin requires that a supplemental snack of 15 g of carbohydrate be given to match the peak action of the insulin. Since regular insulin is peaking at 2-4 hours post administration, a 10:00 a.m. snack would be recommended.Incorrect: Because the NPH insulin will still be peaking from approximately 12:00 p.m. to 6:00 p.m., delaying the evening meal (dinner) until after 6:00 p.m. would put the client at risk for hypoglycemia.Incorrect: Carbohydrate intake must be coordinated with the peak action of insulin. Therefore, the client should be taught to consistently eat carbohydrates at meals, ranging from 45-60% of the total caloric intake.Correct: The peak time of NPH insulin is 4-12 hours. If the client takes the NPH insulin at 6:00 a.m., the insulin will be peaking between 12:00 p.m. and 6:00 p.m. Therefore it is important that food be scheduled between this time period to prevent hypoglycemia. avoid any snacks between breakfast and lunch. delay dinner until after 6:00 p.m.. eat a low carbohydrate lunch at noon. schedule a snack at 3:00 p.m.. 6 A client with a fractured femur was recently admitted to the orthopedic unit in traction. In planning care to minimize the risk for fat embolism, the nurse should implement which intervention? Correct: Immobilization, surgery or trauma to the skeletal system, poor hydration and low tidal volume in the lung are predisposing factors to fat embolism syndrome. Nursing interventions to reduce the risk of fat embolism include good respiratory care, adequate hydration, and stable traction. Other measures include: the use of intermittent pneumatic compression, leg elevation, elastic stockings, and medications (anticoagulant, anti-platelet agents).Incorrect: Fat embolism is not related to diet. The use of supplementary oxygen may require an order, particularly to the client with chronic obstructive pulmonary disease. Range of motion is not recommended for the affected leg.Incorrect: A liquid diet is not necessary for the client in traction. Physical therapy is essential in the rehabilitative phase.Incorrect: Sedation and analgesia are not related to the prevention of fat emboli. The client is encouraged to move the unaffected extremities to reduce the risk of fat embolism syndrome, pressure-related skin injury, and muscle soreness. Provide a low-fat, high-carbohydrate diet, give oxygen, and encourage range of motion in the affected leg. Keep the client on a liquid diet, and have physical therapy start the client on an exercise program for upper body strengthening. Maintain sedation and administer intravenous fluids and medications for pain as needed. 7 The nurse is caring for a client who has just developed ventricular tachycardia following a myocardial infarction. The nurse anticipates