A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

Give the insulin at 0700.

Give the insulin when the breakfast tray arrives.

Give the insulin 30 min after breakfast with the client's Other routine medicines.

Give the insulin at 0730.

Answer and Explanation

The Correct Answer is D

The regular insulin should be administered subcutaneously about 30 mins before the client take their meals. This is because the insulin has a short onset of action. The peak time (30 mins after injection) should match the eating time provide optimum sugar control

B Arrival of the tray does not provide an exact time account to help match the peak time with meal time

C regular insulin should be given before meals

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Correct Answer is B

Explanation

A white coating in the mouth is also referred to as oral thrush which is a common adverse effect of inhaled corticosteroids. It occurs due to suppression of the immune system leading to inability to fight fungal infections in the body. The client should be advised to rinse the mouth after inhalation.

A, C, and D are not related to the use of inhaled corticosteroids.

A. Call the prescribing physician and inform her of the client's serum potassium level results. B. Omit the KCL dose and document it was not given. C. Call the lab to verify the client's results. D. Give the ordered KCL as prescribed.

Correct Answer is A

Explanation

potassium level of 5.2 mEq/L is above the normal range (3.5-5.0 mEq/L), indicating hyperkalemia. Giving potassium chloride (KCL) to a client with hyperkalemia can exacerbate the condition and lead to life- threatening cardiac arrhythmias. It is crucial to notify the physician promptly so that appropriate action can be taken, such as adjusting the dosage of potassium supplementation or discontinuing it altogether.
B. Omitting the KCL dose without consulting the physician is not appropriate as further instructions are needed.
C. Calling the lab to verify the client's results is unnecessary since the nurse already has the laboratory results. The focus should be on informing ensuring client safety.
D. Giving the ordered KCL as prescribed is not appropriate as administering potassium in the presence of hyperkalemia can be dangerous and should be avoided until further guidance is obtained from the physician.

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A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For Which if the following adverse effects should the nurse instruct the client to report to the provider?

Correct Answer is B

Explanation

A nurse is caring for a client Who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/I— Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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