An adult female client with type 1 diabetes mellitus is receiving NPH insulin 35 units each morning. Which finding should the practical nurse (PN) document as evidence that the amount of insulin is inadequate?

States her feet are constantly cold along with feeling numb

Consecutive evening serum glucose greater than 260 mg/dL

A wound on the ankle that starts to drain and becomes painful

Reports nausea in the morning but still able to eat breakfast

Answer and Explanation

The Correct Answer is B

The correct answer and explanation is:

b) Consecutive evening serum glucose greater than 260 mg/dL.

This is the finding that the PN should document as evidence that the amount of insulin is inadequate for the client with type 1 diabetes mellitus. Consecutive evening serum glucose greater than 260 mg/dL indicates hyperglycemia, which means that the client's blood sugar is too high and not well controlled by the insulin dose.

The PN should report this finding to the healthcare provider and expect a possible adjustment in the insulin regimen.

a) States her feet are constantly cold along with feeling numb.

This is not the finding that the PN should document as evidence that the amount of insulin is inadequate for the client with type 1 diabetes mellitus.

States her feet are constantly cold along with feeling numb may indicate peripheral neuropathy, which is a complication of diabetes that aﬀects the nerves in the feet and legs. It is caused by chronic high blood sugar levels over time, not by a single dose of insulin.

c) A wound on the ankle that starts to drain and becomes painful.

This is not the finding that the PN should document as evidence that the amount of insulin is inadequate for the client with type 1 diabetes mellitus. A wound on the ankle that starts to drain and becomes painful may indicate an infection, which is a risk factor for diabetic clients due to impaired wound healing and immune function. It is not directly related to the insulin dose, although it may aﬀect the blood sugar levels and require more insulin.

d) Reports nausea in the morning but still able to eat breakfast.

This is not the finding that the PN should document as evidence that the amount of insulin is inadequate for the client with type 1 diabetes mellitus. Reports nausea in the morning but still able to eat breakfast may indicate morning sickness, which is a common symptom of pregnancy. It is not related to the insulin dose, although it may aﬀect the blood sugar levels and require more frequent monitoring and adjustment.

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Correct Answer is ["30"]

Explanation

Question: How many mL/hour should the nurse program the infusion pump?

Step 1: Convert 176 pounds to kg. 176 lbs ÷ 2.2 = 80 kg

Step 2: Calculate the total mcg per hour. 2 mcg/min × 60 min = 120 mcg/hour

Step 3: Convert mcg to mg. 120 mcg ÷ 1000 = 0.12 mg

Step 4: Calculate the mL/hour. 0.12 mg ÷ (4 mg ÷ 1000 mL) = 30 mL/hour

Answer: 30 mL/hour

A. Administer prescribed PRN sleep medications. B. Encourage use of prescribed analgesic perineal sprays. C. Administer prescribed stool softener. D. Encourage breastfeeding to promote uterine involution.

Correct Answer is C

Explanation

The correct answer is choice c. Administer prescribed stool softener.

Choice A rationale:

Administering prescribed PRN sleep medications is not the highest priority. While rest is important, managing pain and preventing complications from the laceration take precedence.

Choice B rationale:

Encouraging the use of prescribed analgesic perineal sprays is beneficial for pain management, but it is not the highest priority intervention.

Choice C rationale:

Administering a prescribed stool softener is crucial because it helps prevent constipation, which can cause significant pain and strain on the perineal area, potentially worsening the laceration.

Choice D rationale:

Encouraging breastfeeding to promote uterine involution is important for postpartum recovery, but it does not directly address the immediate needs related to the fourth-degree laceration.

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An adult female client with type 1 diabetes mellitus is receiving NPH insulin 35 units each morning. Which finding should the practical nurse (PN) document as evidence that the amount of insulin is inadequate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who weighs 176 pounds receives a prescription for norepinephrine 2 mcg/min intravenously (IV). The IV bag is labeled, "Norepinephrine 4 mg in dextrose 5% in water (D; W) 1,000 mL." How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.).

Correct Answer is ["30"]

Explanation

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Correct Answer is C

Explanation

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