A hospitalized patient who is diabetic received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient was away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray.

What is the best action by the nurse to prevent hypoglycemia?

The Patient has a nutritional dose of Humalog insulin of 5 units before each meal, plus Humalog insulin per sliding scale.

Blood Glucose Level sliding scale (mg per dL) Humalog Insulin Less than 70 Call MD

201-250 4 units

251-300 6 units

301-350 8 units

351-400 10 units

Greater than 400 Call MD

The patient's meal has been delivered, the nurse checks the patient's pre-meal blood sugar, and the result is 311 mg/dL.

The patient is awake, alert, and able to swallow. The next step the nurse should take is

Which finding indicates to the nurse that demeclocycline is effective for a patient with a syndrome of inappropriate antidiuretic hormone (SIADH)?

14:20: 87-year-old client admitted to the ED from the independent living apartment with a new report of episodic acute confusion. urinary frequency and incontinence, and severe fatigue. The child states that the client is independent in ADCs and has no history of dementia.

15:30: Normal BMP and CBC results, except for WBCs of 16,000/mm3 (16 x 109 /L) with bands greater than 10%.

Based on the assessment findings presented which condition would the nurse suspect?

A 46-year-old woman presented to the emergency department several days ago with a respiratory infection that caused a hyperglycemic-hyperosmolar event. The client has a history of diabetes mellitus type 2, hypertension, peripheral neuropathy, vascular disease, and retinopathy. The nurse prepares to discharge the client today. After providing discharge instructions, the nurse assesses the client's understanding.

Which of the following client statements indicate a good understanding of diabetic teaching?

Select all that apply.

Ordered: Synthroid 0.25 mg po Available: Synthroid 125 mcg tablets

How many tablets should be given?

Which finding by the nurse will be most helpful in determining whether a 67- yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis)?

A 46-year-old female patient presents to the emergency department with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 83/44 mm Hg. pulse oximetry 98%. and T 98.8 F oral.

Which nursing intervention is the highest priority for this patient?

Which information will the nurse include when teaching a patient how to avoid chronic constipation? (Select all that apply.)

Which information from a 70-year-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C?

A 46-year-old female patient returns to the clinic with continued dysuria after being treated with trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take?