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?

A 40-year-old woman had a total thyroidectomy for hyperthyroidism after medical management was not successful. The nurse is preparing to teach the client about her thyroid hormone replacement (levothyroxine).

Which health teaching will the nurse include about this drug?

Select all that apply.

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.

Insulin lispro (Humalog) is what type of insulin?

A young adult patient is admitted to the hospital for evaluation of right lower quadrant abdominal pain with nausea and vomiting. Which action should the nurse take?

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

A patient with diabetic ketoacidosis is brought to the emergency department. Which prescribed action should the nurse implement first?

A 68-year-old female client is being seen for follow-up wound care on her right lower leg. During her visit, the client states she hasn't had a bowel movement since her last visit a week ago. The client states she hasn't had much of an appetite in the past few days and says, "l figure I don't have anything in there to come out." The nurse auscultates the client's abdomen and hears hyperactive high-pitched bowel sounds in the upper left quadrant and hypoactive bowel sounds in the lower left quadrant. The nurse collaborates with the primary health care provider and the client is directly admitted to the hospital for possible intestinal obstruction. Before going to the hospital, the client asks the nurse what to expect. Which of these statements by the nurse (is) most likely accurate?

Select all that apply.

A 40-year-old female client has a family history of "thyroid problems" and is being seen by the primary healthcare provider for unintentional weight loss, irritability, and chest discomfort. Her probable diagnosis is hyperthyroidism. Which serum laboratory test results support this client's probable diagnosis?

Select all that apply.

Which action by the patient who is self-monitoring blood glucose indicates a need for additional teaching?

A 46-year-old woman who was diagnosed with an upper respiratory infection yesterday and prescribed an antibiotic presents to the ED reporting. "l just don't feel right." The client has a history of diabetes mellitus type 2, hypertension, peripheral neuropathy, vascular disease, and retinopathy. On admission to a medical-surgical unit, the nurse implements a plan of care to prevent complications and maintain client safety while in the hospital.

Indicate which nursing action is appropriate to prevent complications of diabetes mellitus and maintain client safety while in the hospital.