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UWORLD PN basic care Questions and Answers (100% Correct Answers) Already Graded A+

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Voorbeeld 4 van de 73 pagina's

UWORLD PN basic care Questions and Answers (100% Correct Answers) Already Graded A+

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1




UWORLD PN basic care Questions
and Answers (100% Correct
Answers) Already Graded A+


For the past month, the nurse has been providing care to a 7-
year-old client recently diagnosed with type 1 diabetes
© 2026 Assignment




mellitus. Initially, the family seemed devastated over the
diagnosis. The client's parent stated, "Our lives will never be
the same." What statement now made by the parent BEST
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indicates that nursing interventions have been effective?
Expert




A. Our child will not be able to participate in sporting events


B. Our whole family will have to make sacrifiices to deal with
this disease


C. We have set aside a place in the pantry foru our child's
special foods


D. We will not let this disease take control of our child's life
Ans: D.


It is normal for parents to feel devastated when their child is
diagnosed with a chronic illness (eg, diabetes). Reactions
include shock, denial, helplessness, anger, fear, and anxiety.
They may have feelings of guilt that they contributed to or
failed to prevent the development of the disease. The parents'
emotional response, adaptation, and coping strategies will
greatly impact the child's perception of self and the ability to
self-manage the disease.

, 2


In providing diabetes education, the nurse needs to emphasize
and reinforce that with planning and preparation, diabetes can
be managed and controlled, regular day-to-day activities can
be resumed, and the child can have a normal life.


When clients feel in control rather than victimized and
dependent, it increases the likelihood that they will be actively
engaged in diabetes self-management activities.


(Option 1) This is not a true statement. Clients with diabetes
can participate in a wide variety of sports.
© 2026 Assignment




(Option 2) The diagnosis and management of diabetes in a
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child will affect the whole family. The use of the word
Expert




"sacrifice" suggests that the parent is feeling victimized by the
disease.


(Option 3) Nutritional management of diabetes does not
require special foods. Nutrition education should emphasize
healthy food choices and balancing food choices with
medications and exercise for blood sugar control.


Educational objective:


The diagnosis of a chronic illness (eg, diabetes) in a child will
have an impact on the entire family. When the parents see
themselves and their child as capable of being independent
and in control of the condition, there is an increased likelihood
that the disease will be better managed and controlled


A client is being discharged after having a coronary artery
bypass grafting x 5. The client asks questions about the care of
chest and leg incisions. Which instructions should the nurse
reinforce? Select all that apply.

, 3


A. Report any itching, tingling, or numbness around your
incisions


B. Report any redness, swelling, warmth, or drainage from your
incisions


C. Soak incisions in the tube once a week, then clean with
hydrogen perioxide and apply lotion


D. Wash incisions daily with soap and water in the shower and
© 2026 Assignment




gently pat them dry

E. Wear an elastic compression hose on your legs and elevate
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them while sitting Ans: B,D,E
Expert




Incisions may take 4-6 weeks to heal. The nurse should teach
clients how to care for their incisions by providing the
following instructions:


Wash incisions daily with soap and water in the shower. Gently
pat dry (Option 4).


Itching, tingling, and numbness around the incisions may be
present for several weeks due to damage to the local nerves
(Option 1).


Avoid tub baths due to the risk of infection (Option 3).


Do not apply powders or lotions on incisions as these trap
bacteria at the incision site (Option 3).


Report any redness, swelling, drainage increase, or if the
incision has opened (Option 2).

, 4


Wear a supportive elastic hose on the legs and elevate them
when sitting to decrease swelling (Option 5).


Educational objective:


The nurse should instruct the client with chest and leg
incisions from coronary artery bypass grafting to wash them
daily with soap and water in the shower. In addition, the client
must be instructed not to apply any powders or lotions to the
incisions; to report any redness, swelling, or drainage increase;
and to wear an elastic compression hose on the legs.
© 2026 Assignment




A client newly returned to the unit after knee surgery asks the
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nurse for assistance to a chair. What action should the nurse
Expert




implement first?


1. Ask another nurse to help


2. Delegate the task to UAP

3. Premedicate the client for pain


4. Verify the client's activity prescriptions Ans: 4


A client newly admitted from a surgical procedure may have
activity restrictions or bed rest prescribed for a certain period.
Before assisting the client to the chair, the nurse needs to
verify the activity level prescribed by the health care provider.
Getting the client out of bed too early could cause injury to the
surgical site or result in a fall.


(Option 1) A client who had knee surgery will likely be unable
to bear any weight on the affected limb. Depending on the
client's size, it may be prudent for the nurse to get additional

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