A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

A. The symptoms described, including slow onset of recurrent low-grade fever, fatigue, weakness, joint and muscle aches, loss of appetite, weight loss, and diaphoresis, along with the presence of a new heart murmur, splenomegaly, petechiae, splinter hemorrhages under the nails, and Osler nodes, are classic signs and symptoms of infective endocarditis (IE).

B. Tetralogy of Fallot is a congenital heart defect characterized by four specific abnormalities in the heart's structure. The symptoms described do not align with the characteristic features of Tetralogy of Fallot.

C. Acute rheumatic fever is an inflammatory condition that can develop as a complication of untreated streptococcal infections, particularly strep throat. While it can lead to heart valve damage (rheumatic heart disease), the symptoms described are more indicative of infective endocarditis rather than acute rheumatic fever.

D. Pulmonary hypertension is a condition characterized by elevated blood pressure in the pulmonary arteries. While it can present with symptoms such as fatigue and weakness, it typically does not manifest with the constellation of symptoms described, including fever, joint and muscle aches, and the presence of Osler nodes and splinter hemorrhages.

Celiac disease is an autoimmune disorder characterized by an intolerance to gluten, a protein found in wheat, barley, rye, and their derivatives. Therefore, the appropriate food choices for a child with celiac disease are those that are gluten-free.

A. Ric (presumably referring to rice) - Rice is gluten-free and is an appropriate choice for individuals with celiac disease.
B. Wheat - Wheat contains gluten and should be avoided by individuals with celiac disease.
C. Barkey (presumably referring to barley) - Barley contains gluten and should be avoided by individuals with celiac disease.

D. PRIOHOUS - serves as a mnemonic to remember gluten-free food choices (e.g., potatoes, rice, oats, corn, fruits, vegetables, meat, fish, poultry, eggs, dairy products). These foods are typically safe for individuals with celiac disease.