1. A 13 year old child is diagnosed with an Ewing's sarcoma of the femur. Following a course of radiation and chemotherapy, it has been decided that leg amputation is necessary. Following the amputation, the child beomes frightened because of aching and cramping felt in the missing limb. Which nursing statement would be most appropriate to assist in alleviating the child's fear.
a. "This aching and cramping is normal and temporary and will subside."
b. "This normally occurs after the surgery, and we will teach you ways to deal with it"
c. "The pain medicatoin that I give you wil take these feelings away"
d. "This pain is not real pain, and relaxation exercises will help it go away"
2. Oral iron supplements are precribed for the 6 year old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which of the following food items?
a. water
b. milk
c. apple juice
d. tomato juice
3. A client with diabetes mellitus is being discharged following treatment for hyperglycemic hyperosmolar nonketotic syndrome precipiated by acute illness. The client tells the nurse, "I will call the doctor next time I can't eat for more than a day or so". Which of the following sttements reflects the most appropriate analysis of this client's level of knowledge?
a. The client needs immediate education before discharge.
b. The client's statement is accurate, but knowledge should be evaluated further.
c. The client's statement is inaccurate, and the client should be scheduled for outpatient diabetic counceling.
d. The client requires follow-up teaching regarding the administration of insulin.
4. The client with type 1 diabetes mellitus is having trouble remembering the types, duration, and onset of the action of insulin. The client tells the nurse that the family members have not been supportive. The nurse's best response to the client is
a. "You can't always depend on your family to help"
b. "Let me go over the types of insulin with you again"
c. "It's not really necessary for you to remember this"
1. A 13 year old child is diagnosed with an Ewing's sarcoma of the femur. Following a course of radiation and chemotherapy, it has been decided that leg amputation is necessary. Following the amputation, the child beomes frightened because of aching and cramping felt in the missing limb. Which nursing statement would be most appropriate to assist in alleviating the child's fear.
a. "This aching and cramping is normal and temporary and will subside."
b. "This normally occurs after the surgery, and we will teach you ways to deal with it"
c. "The pain medicatoin that I give you wil take these feelings away"
d. "This pain is not real pain, and relaxation exercises will help it go away"
2. Oral iron supplements are precribed for the 6 year old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which of the following food items?
a. water
b. milk
c. apple juice
d. tomato juice
3. A client with diabetes mellitus is being discharged following treatment for hyperglycemic hyperosmolar nonketotic syndrome precipiated by acute illness. The client tells the nurse, "I will call the doctor next time I can't eat for more than a day or so". Which of the following sttements reflects the most appropriate analysis of this client's level of knowledge?
a. The client needs immediate education before discharge.
b. The client's statement is accurate, but knowledge should be evaluated further.
c. The client's statement is inaccurate, and the client should be scheduled for outpatient diabetic counceling.
d. The client requires follow-up teaching regarding the administration of insulin.
4. The client with type 1 diabetes mellitus is having trouble remembering the types, duration, and onset of the action of insulin. The client tells the nurse that the family members have not been supportive. The nurse's best response to the client is
a. "You can't always depend on your family to help"
b. "Let me go over the types of insulin with you again"
c. "It's not really necessary for you to remember this"
d. "What is it that you don't understand?"