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A nurse is caring for a client who has a history of diabetes mellitus and is being admitted to the unit confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?

A.

Regular insulin

B.

Insulin detemir

C.

Insulin glargine

D.

NPH insulin

Answer and Explanation

The Correct Answer is A

A. Regular insulin:

Regular insulin, also known as short-acting insulin, is commonly used in the initial management of diabetic ketoacidosis. It has a relatively rapid onset of action, making it suitable for addressing the acute and severe nature of DKA.

B. Insulin detemir:

Insulin detemir is a long-acting insulin analog. It is not the preferred choice for addressing the acute insulin needs in DKA; instead, it is used for basal insulin requirements in the maintenance phase of diabetes management.

C. Insulin glargine:

Insulin glargine is a long-acting insulin analog used for basal insulin coverage. Like insulin detemir, it is not the first choice for addressing the acute insulin needs in the initial treatment of DKA.

D. NPH insulin:

NPH (Neutral Protamine Hagedorn) insulin is an intermediate-acting insulin. While it has a role in diabetes management, it is not the preferred choice for the initial treatment of DKA. NPH insulin has a slower onset and longer duration compared to regular insulin.


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Related Questions

Correct Answer is C

Explanation

A. "Eat four small meals each day":

Eating smaller, more frequent meals can help prevent overfilling the stomach and reduce pressure on the lower esophageal sphincter (LES), potentially decreasing reflux symptoms. However, the effectiveness can vary among individuals.

B. "Sleep on your left side":

Sleeping on the left side may reduce symptoms of GERD for some individuals. This position can keep the stomach below the esophagus, minimizing reflux. However, individual preferences and comfort should be considered.

C. "Wait to go to bed for 1 hour after eating":

This instruction helps reduce the risk of reflux while lying down. Waiting after eating allows gravity to aid in digestion and reduces the likelihood of stomach contents backing up into the esophagus during sleep.

D. "Drink milk to soothe your stomach":

While milk might provide temporary relief for some people by neutralizing stomach acid, it can stimulate acid production, potentially exacerbating GERD symptoms in the long run. Therefore, it's not a recommended solution for managing GERD.

Correct Answer is A

Explanation

Correct answer: A

A. Bear down:

Bear down: Asking the clientto bear down gently (as if to void) helps to expose urethral meatus.Bearing down simulates the act of urination and helps open the urethra.

B. Exhale slowly:

While exhaling slowly might help the client relax, it does not specifically assist with the insertion of the catheter as effectively as bearing down.

C. Contract the pelvic muscles:

Contracting the pelvic muscles (such as squeezing or tightening) might make catheter insertion more challenging by tensing the area where the catheter needs to pass through.

D. Take a sip of water:

Drinking water is not typically instructed during urinary catheter insertion, as it's unrelated to the process and might increase discomfort.

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