1. To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually (select one that doesn't apply)?

Correct Answer: C

Rationale: Step-by-step rationale for correct answer (C): 1. Chest x-ray is not routinely recommended for monitoring complications of type 2 diabetes. 2. Annual blood pressure monitoring is crucial for assessing cardiovascular risk in diabetic patients. 3. Serum creatinine test helps evaluate kidney function, which is often impaired in diabetes. 4. Urine microalbuminuria test detects early signs of kidney damage, common in diabetes. Summary of incorrect choices: A: Blood pressure monitoring is essential for assessing cardiovascular risk in diabetes. B: Serum creatinine test is important for evaluating kidney function in diabetic patients. D: Urine microalbuminuria test helps detect early kidney damage in diabetes.

Correct Answer: B

Rationale: The correct answer is B: Wear hypoallergenic latex gloves that do not contain powder. This is the best precaution because it minimizes the risk of the client having an allergic reaction to latex during the procedure. Powdered latex gloves can release latex particles into the air, increasing the likelihood of a reaction. Hypoallergenic gloves are designed to reduce the risk of allergic responses. Choice A is incorrect as ethylene oxide is used for sterilization of medical equipment, not specifically for latex allergy precautions. Choice C is incorrect because cleansing latex ports with chlorhexidine does not address the risk of latex exposure. Choice D is also incorrect as wrapping monitoring cords does not directly address the issue of latex allergy.

Correct Answer: A

Rationale: The correct answer is A because it validates the client's feelings by acknowledging the common experience of middle adults feeling a sense of purpose through nurturing others. This response shows empathy and understanding, which can help the client feel heard and supported. Choice B is incorrect because it immediately delves into exploring the reasons behind the feelings without first acknowledging or validating them. This approach may come off as dismissive or insensitive. Choice C is incorrect because it brushes off the client's feelings by emphasizing the positive aspect of children becoming independent, without addressing the client's emotional distress. Choice D is incorrect because it makes a generalization about happiness related to children leaving home without directly addressing the client's specific feelings of uselessness. It does not acknowledge or validate the client's emotions.

Correct Answer: B

Rationale: The correct answer is B: Distended neck veins. When a client has fluid volume excess, there is an accumulation of fluid in the intravascular space, leading to increased venous pressure. Distended neck veins are a classic sign of fluid overload as they indicate increased central venous pressure. Hypotension (A) is more commonly associated with fluid volume deficit. Slow capillary refill (C) and weak, thready pulse (D) are indicative of poor tissue perfusion, which is more commonly seen in fluid volume deficit rather than excess.

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Nurses are held to high professional standards, and unprofessional actions can lead to license revocation. 2. Maintaining professionalism is crucial to ensuring patient safety and trust in the healthcare system. 3. Highlighting consequences reinforces the importance of adhering to ethical standards. Summary: A: Irrelevant to professional behavior expectations. B: While encouraged, passion must be expressed appropriately. C: True, but does not emphasize the serious consequences of unprofessional behavior.