The nurse is providing preoperative teaching to a client with diabetes. The client states 'I know I won't need as much insulin after surgery, since I haven't had anything to eat or drink since midnight.' Which response by the nurse would be most appropriate?

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Question 1 of 5

The nurse is providing preoperative teaching to a client with diabetes. The client states 'I know I won't need as much insulin after surgery, since I haven't had anything to eat or drink since midnight.' Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: The stress of surgery often increases blood sugar and thus insulin needs, not decreases them due to being n.p.o. preoperatively. Insulin is not typically given just prior to or during surgery.

Question 2 of 5

A client who has been experiencing premenstrual syndrome reports to the clinic with a diet diary she has kept over the past several weeks. Which of the following findings should be reviewed with the client, with a recommendation made for dietary modification?

Correct Answer: D

Rationale: White bread (simple carbs) should be reduced and swapped for whole grains. Caffeine-free soda, yogurt, and magnesium-rich foods are beneficial for PMS.

Question 3 of 5

A nurse cares for an older adult client who has a chronic skin disorder. The client states, 'I have not been to church in several weeks because of the discoloration of my skin.' How should the nurse respond?

Correct Answer: C

Rationale: Clients with chronic skin disorders often become socially isolated related to the fear of rejection by others. Nurses should assess how the client's skin changes are affecting the client's body image and encourage the client to express his or her feelings about a change in appearance.

Question 4 of 5

A nurse performs a skin screening for a client who has numerous skin lesions. Which lesion does the nurse evaluate first?

Correct Answer: B

Rationale: This mole fits criteria for being cancerous or precancerous: variation of color and irregular border.

Question 5 of 5

The nurse assesses a client who has a severe burn injury. Which statement indicates the client understands the psychosocial impact of a severe burn injury?

Correct Answer: A

Rationale: Depression is a normal psychological problem during recovery from a severe burn injury.

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