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.
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
Spironolactone is a potassium-sparing diuretic used in the management of ascites associated with liver failure. Its mechanism of action includes blocking the actions of aldosterone, a hormone that promotes sodium retention and potassium excretion in the kidneys. This results in increased urinary sodium excretion and hyponatremia and hyperkalemia.
A. Decreased chloride level is not typically associated with spironolactone use.
C. Spironolactone is a potassium-sparing diuretic, so it leads to an increased potassium level (hyperkalemia)
D. Spironolactone is not associated with decreased phosphate levels.
Correct Answer is A
Explanation
Metronidazole is an antimicrobial agent used in the treatment of infections caused by anaerobic organisms. Its oral preparation commonly leaves an unpleasant metallic taste which is transient.
B, C, D -Metronidazole is not associated with hearing loss, olfactory changes or alterations in touch
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