A nurse is collecting data from a client who has diabetes mellitus.

The client is confused, flushed, and has an acetone odor on their breath.

The nurse should anticipate a prescription for which of the following types of insulin to treat the client.

Regular insulin.

NPH insulin.

Lispro insulin.

Glargine insulin.

Answer and Explanation

The Correct Answer is A

The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.

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Correct Answer is A

Explanation

“Patient’s platelets 100,000.” A nurse should report a low platelet count to the provider because it may indicate heparin-induced thrombocytopenia (HIT), a serious complication of heparin therapy.
Choice B is not correct because a Prothrombin time (PT) of 12 seconds is within the normal range and does not need to be reported.
Choice C is not correct because Thrombin time (TT) is not typically used to monitor heparin therapy.
Choice D is not correct because a Hematocrit of 35% is within the normal range and does not need to be reported.

A. 0715. B. 0800. C. 0900. D. 1000.

Correct Answer is D

Explanation

NPH insulin is an intermediate-acting insulin that typically starts to work within 1 to 2 hours after injection.
The nurse should observe for hypoglycemia caused by the onset of the medication around 3 hours after administration, which would be around 1000.
Choice A is not correct because it is too soon after administration for the onset of the medication.
Choice B is not correct because it is still too soon after administration for the onset of the medication.
Choice C is not correct because it is still too soon after administration for the onset of the medication.

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A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on their breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client.

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

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A nurse is collecting data from a client who has diabetes mellitus.

The client is confused, flushed, and has an acetone odor on their breath.

The nurse should anticipate a prescription for which of the following types of insulin to treat the client.