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A patient with diabetes is admitted with symptoms of diabetic ketoacidosis (DKA). Which type of insulin IV should a nurse expect to administer?

Regular

Lantus

Intermediate-and short-acting mix

NPH

Answer and Explanation

The Correct Answer is A

A. Regular insulin is the only insulin type that can be administered intravenously and is used in DKA treatment.

B. Lantus (glargine) is a long-acting insulin and is not used in acute situations.

C. Mixed insulins (intermediate and short-acting) are not appropriate for IV administration.

D. NPH is an intermediate-acting insulin and is not suitable for IV use.

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Correct Answer is B

Explanation

A. Give the patient access to a video about diabetes. – Incorrect. Educational materials are helpful but should be provided after assessing the patient's current knowledge level.

B. Determine what the patient knows about managing diabetes. – Correct Answer. The first step in teaching is to assess the patient's baseline knowledge to tailor the education to their needs.

C. Establish short-term, realistic goals for the patient. – Incorrect. Goal-setting is important but should come after assessing the patient’s knowledge and readiness to learn.

D. Evaluate the effectiveness of the patient's admission teaching plan. – Incorrect. The nurse should first determine what new information needs to be taught before evaluating previous teaching.

A. Improve venous circulation and prevent VTE formation B. Prevent flexion and contractures of the extremities C. Decrease the development of a paralytic ileus D. Prevent the development of pressure ulcers

Correct Answer is D

Explanation

A. Improve venous circulation and prevent VTE formation. – Incorrect. While repositioning does help with circulation, it is primarily done to prevent pressure injuries.

B. Prevent flexion and contractures of the extremities. – Incorrect. Contracture prevention is important, but passive ROM exercises are more effective for this purpose.

C. Decrease the development of a paralytic ileus. – Incorrect. Paralytic ileus is managed through bowel programs and early mobility, not repositioning alone.

D. Prevent the development of pressure ulcers. – Correct Answer. Paralyzed patients are at high risk for pressure ulcers, especially over bony prominences like the sacrum. Repositioning reduces prolonged pressure, which can lead to skin breakdown.

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A patient with diabetes is admitted with symptoms of diabetic ketoacidosis (DKA). Which type of insulin IV should a nurse expect to administer?

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