a client with diabetes experiences somogyis effect to prevent this complication the nurse should instruct the client to

HESI LPN

Leadership and Management HESI Quizlet

1. A client with diabetes experiences Somogyi's effect. To prevent this complication, the nurse should instruct the client to:

A. Take insulin at 2:00 PM each day
B. Engage in physical activity daily
C. Increase the dose of regular insulin
D. Eat a protein and carbohydrate snack at bedtime

Correct answer: D

Rationale: Somogyi effect, also known as rebound hyperglycemia, occurs as a response to nighttime hypoglycemia. Eating a protein and carbohydrate snack at bedtime can help prevent this by stabilizing blood sugar levels throughout the night. Instructing the client to take insulin at 2:00 PM each day (Choice A) may not directly address the nighttime hypoglycemia concern. Engaging in physical activity daily (Choice B) is generally beneficial for diabetes management but may not specifically prevent Somogyi's effect. Increasing the dose of regular insulin (Choice C) without addressing the nighttime hypoglycemia issue can exacerbate the problem.

2. A client has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

A. Report the infection to the local health department
B. Apply an antiviral cream to lesions
C. Instruct the client to use condoms until the treatment is completed
D. Initiate contact precautions

Correct answer: A

Rationale: The correct answer is to report the infection to the local health department. Chlamydia is a reportable disease, meaning healthcare providers are required to report cases to public health authorities for tracking and control measures. Choice B is incorrect because chlamydia is a bacterial infection, not a viral infection, so antiviral cream would not be effective. Choice C is important advice for preventing the spread of chlamydia but is not the priority in this scenario. Choice D is not necessary for chlamydia, as it is primarily transmitted through sexual contact.

3. Which of the following is considered normal for the neonate?

A. Chest Circumference: 10 to 13 inches
B. Length: 16 to 22 inches
C. Weight: 1,500 to 4,000 g
D. Head Circumference: 12.6 to 14.5 inches

Correct answer: D

Rationale: A normal head circumference for a neonate typically falls within the range of 12.6 to 14.5 inches. Choice A is incorrect because the chest circumference for a neonate is usually smaller. Choice B is incorrect as the length of a neonate is typically shorter. Choice C is incorrect as the weight of a neonate is usually measured in grams and falls within a different range.

4. Which of the following is something a new model for health care in the future should include?

A. Community-centered care
B. Care that encourages a healthy environment
C. Accessible care that is affordable for most
D. A focus on local health concerns

Correct answer: B

Rationale: The correct answer is B because a new model for health care in the future should focus on promoting a healthy environment. This includes initiatives such as green buildings and reducing pollution to improve overall health outcomes. Choice A, community-centered care, is important but not the primary focus when considering the future of healthcare. Choice C, accessible and affordable care, is crucial but does not directly address the need for a healthy environment. Choice D, a focus on local health concerns, is relevant but not as comprehensive as promoting a healthy environment in shaping the future of healthcare.

5. Low birth weight is defined as a newborn's weight of:

A. 2500 grams or less at birth, regardless of gestational age.
B. 1500 grams or less at birth, regardless of gestational age.
C. 2500 grams or less at birth, according to gestational age.
D. 1500 grams or less at birth, according to gestational age.

Correct answer: A

Rationale: Low birth weight is defined as 2500 grams or less at birth, regardless of gestational age. This means that any newborn weighing 2500 grams or less is considered to have a low birth weight, irrespective of how many weeks they were in the womb. Choices B, C, and D are incorrect because they specify a weight of 1500 grams or less, which is not the standard definition of low birth weight. The correct definition is 2500 grams or less, not influenced by gestational age.