A patient calls the clinic to report a new onset of severe diarrhea. What should the nurse anticipate that the patient will need to do?

Collect a stool specimen.

Have blood cultures drawn.

Prepare for colonoscopy.

Schedule a barium enema.

Answer and Explanation

The Correct Answer is A

The nurse should anticipate that the patient will need to collect a stool specimen. Diarrhea can be caused by various factors such as infections, inﬂammatory bowel disease, food intolerance, and medication side eﬀects. Collecting a stool specimen can help identify the underlying cause of the diarrhea and guide appropriate treatment. Blood cultures, colonoscopy but barium enema may be necessary in certain cases but are not typically the first step in the diagnostic process for diarrhea.

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Free Nursing Study Resources

Correct Answer is ["D","F","G"]

Explanation

Option A is incorrect because administering an ACE inhibitor may be a part of the patient's regular medication regimen, but it is not specific to preventing complications of diabetes mellitus while in the hospital.
Option b is incorrect because administering intravenous ﬂuids at a high rate may result in ﬂuid overload, electrolyte imbalances, and other complications, which may not be appropriate for this patient.
Option c is incorrect because administering glucagon is not a preventative measure, but rather an intervention for treating hypoglycemia.
Option d is correct because ensuring a well-lit path to the bathroom is important for fall prevention, but it does not directly address the prevention of complications of diabetes mellitus.
Option e is incorrect because encouraging the client to drink sugar-free liquids is a general recommendation for maintaining hydration and may not be specific to preventing complications of diabetes mellitus.
Option f is correct because teaching the client to rise slowly from the bed is important for preventing orthostatic hypotension, but it does not directly address the prevention of complications of diabetes mellitus.
Option g is correct because Patients with diabetes mellitus are at risk for hypoglycemia when taking insulin or oral hypoglycemic agents. Proper coordination of meal-time insulin with food delivery and consumption can help prevent hypoglycemia or hyperglycemia. This includes ensuring that the patient receives insulin at the appropriate time in relation to meals and monitoring blood glucose levels regularly.

A. Administer 5 units of Humalog insulin. B. Administer 8 units of Humalog insulin. C. Call the MD. D. Keep the patient NPO

Correct Answer is B

Explanation

Since the patient's pre meal blood sugar is 311 mg/dL, according to the sliding scale, the patient requires 8 units of Humalog insulin. Therefore, the nurse should administer 8 units of Humalog insulin before the patient's meal. It is important to note that if the patient's blood glucose level is greater than 400 mg/dL, the nurse should call the MD instead of administering insulin. Keeping the patient NPO (nothing by mouth) is not necessary in this situation, as the patient is awake, alert, and able to swallow, and will require their meal for adequate nutrition. However, it is important to monitor the patient's blood glucose level after administering insulin and adjust the dosage if necessary.

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A patient calls the clinic to report a new onset of severe diarrhea. What should the nurse anticipate that the patient will need to do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["D","F","G"]

Explanation

Correct Answer is B

Explanation

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