A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

The client will administer insulin glargine before each meal.

The client will use the deltoid muscle as an injection site.

The client will take an additional dose of insulin glargine prior to exercise.

The client will wear his reading glasses when drawing up a dose of insulin glargine.

Answer and Explanation

The Correct Answer is D

Use of glasses in visual problems in the elderly avoid errors such as overdose. The use of insulin requires accurate visualization because overdosing the medication may lower the blood sugar levels too low leading to severe neuroglycopenic features or even death.

A- Long acting insulins like glargine are used as a basal insulin given once a day

B- The subcutaneous tissue is preferred

C- Insulin glargine is not added before exercise

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Correct Answer is B

Explanation

Hypoglycemia is a potential complication of parenteral nutrition, especially if the infusion rate is too high or if the infusion is interrupted. The nurse should promptly address hypoglycemia by administering IV dextrose, which will help raise the client's blood glucose levels.
A. Discontinuing the infusion may be necessary if the cause of hypoglycemia is related to the parenteral nutrition solution or if the infusion rate needs adjustment. However, the immediate priority is to treat the hypoglycemia by providing a glucose source.
C. Warming the formula to room temperature is not relevant to treating hypoglycemia. Warming the formula might be done for other reasons, such as improving tolerance or reducing discomfort during administration.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia. Arterial blood gases are typically obtained to assess oxygenation and acid-base balance, not glucose levels.

A. Blood pressure B. Respiratory rate C. Temperature D. Oxygen saturation

Correct Answer is A

Explanation

Nifedipine is a calcium channel blocker is used in the management of hypertension. It leads to vasodilation of blood vessels lowering blood pressure. Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. Therefore, the nurse should assess the client's blood pressure prior to administering nifedipine to ensure that it is within the therapeutic range and not too low, as nifedipine can cause hypotension (as a side effect.

B,C, D- Nifedipine has no effect on respiratory rate, temperature and oxygen saturation

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A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

Correct Answer is A

Explanation

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