A 26-year-old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful in determining the cause of the patient's symptoms?
Can you tell me more about the pain?
What is your usual elimination pattern?
Is it possible that you are pregnant?
What types of food do you eat?
The Correct Answer is C
Nausea and vomiting are common symptoms of early pregnancy, and abdominal pain can also occur due to various pregnancy-related conditions. Therefore, it is essential to rule out pregnancy as a potential cause of the patient's symptoms before pursuing other diagnostic options.
Once pregnancy has been ruled out, the nurse can ask additional questions such as those listed in options a, b, and d to further narrow down the potential causes of the patient's symptoms.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
The nurse will discuss using rapid-acting insulin such as Lispro (Humalog) for mealtime coverage in a patient with diabetes who is starting insulin therapy. Rapid-acting insulin begins to work quickly after injection, usually within 15 minutes, and peaks at around 1 hour. This makes it an effective choice for covering the rise in blood sugar that occurs after meals.
Options A, B, and D are all long-acting insulins that are used to provide a basal level of insulin coverage throughout the day but are not appropriate for mealtime coverage.
Correct Answer is B
Explanation
Glycosylated hemoglobin (HbA1c) is a measure of the average blood glucose levels over the past 2-3 months. An HbA1c level of less than 7% is associated with a reduced risk of microvascular and macrovascular complications in patients with diabetes. This is a critical goal because uncontrolled blood glucose levels can lead to complications such as neuropathy, nephropathy, retinopathy, and cardiovascular disease.
While options a, c, and d are also important in the management of diabetes, they are not as critical as achieving glycemic control. Choosing a diet that distributes calories throughout the day can help regulate blood glucose levels and prevent hypoglycemia. Following a diet and exercise plan that results in weight loss can also help improve glycemic control and reduce the risk of complications. Understanding the reasons for eliminating simple sugars in the diet is important for overall diabetes education, but it is not the most important goal in the plan of care for this patient at this time.
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