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. The charge nurse should follow the staff closely and tell them every single thing they could possibly be doing wrong:

Micromanaging and focusing solely on the negatives can create a stressful and demoralizing work environment. This approach is less likely to motivate and inspire staff.

B. Make the staff aware that all errors will be severely punished:

A punitive approach to errors can create a culture of fear and may not foster a supportive environment for learning and improvement. It can lead to decreased morale and job satisfaction.

C. Acknowledge staff accomplishments when warranted and provide positive feedback:

This is the most effective approach. Recognizing and acknowledging staff achievements, providing positive feedback, and celebrating successes contribute to a positive work environment. It motivates staff to continue their efforts and fosters a culture of teamwork and collaboration.

D. Provide negative feedback with all errors:

While constructive feedback is essential for learning and improvement, a balance between constructive criticism and positive reinforcement is crucial. Constant negative feedback without recognition of positive efforts can lead to decreased morale.

A. Administer medications:

While nasogastric tubes can be used to administer medications, this is not the primary rationale for their use in pyloric obstruction. The primary goal is often decompression.

B. Supply nutrients via tube feedings:

Providing nutrients via tube feedings is not the primary purpose in the context of a pyloric obstruction. Decompression is more relevant in this scenario.

C. Decompress the stomach:

Decompressing the stomach is a common use of nasogastric tubes in the context of pyloric obstruction. The tube helps to remove excess air and gastric contents, relieving pressure in the stomach.

D. Determine the pH of the gastric secretions:

While determining the pH of gastric secretions is a possible use, it is not the primary rationale for nasogastric tube placement in pyloric obstruction. The primary goal is often to relieve obstruction and decompress the stomach.