A school-age client has just been diagnosed with juvenile ...

[renzo156]

A school-age client has just been diagnosed with juvenile diabetes. The client is very angry about the new disease. Which of the following statements is most appropriate for the nurse counselor working with this client to make?
 
  a. Try not to be angry because you are receiving the best care possible.
  b. It is all right to be angry with your friends, but try not to be angry with your parents.
  c. You appear upset about the diagnosis. Let's talk about your feelings.
  d. You learn quickly and will probably handle the difficult treatments very well.

Question 2

A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100 syringe. How many units should the nurse draw up in the syringe and administer?
 
  a. 0.04 mL
  b. 0.4 mL
  c. 4 mL
  d. 10 mL

[xthemafja]

Answer to Question 1

C

Feedback
A The statement, Try not to be angry because you are receiving the best care possible, is not therapeutic. It does not address the client's feelings of anger and conveys a message that feeling angry is not acceptable.
B The statement, It is all right to be angry with your friends, but try not to be angry with your parents, is not therapeutic. It does not address the cause of the anger and puts limits on how the anger may be expressed.
C The statement, You appear upset about the diagnosis. Let's talk about your feelings, clarifies the meanings of verbal and nonverbal communication. It also demonstrates acceptance of the client's thoughts and feelings, and encourages open communication.
D The statement, You learn quickly and will probably handle the difficult treatments very well, is not therapeutic. It does not encourage the client to communicate his or her feelings.

Answer to Question 2

B
The nurse is careful to perform nursing calculations to ensure proper medication administration. U-50 insulin has 50 units of insulin in every milliliter, a U-100 syringe has 100 units in every milliliter. Conversion equals 20 units.