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 C

Explanation

Choice A rationale:

Serum sodium level. Rationale: While electrolyte imbalances can be significant, in the context of purulent drainage at a postoperative site, monitoring serum sodium levels is not the top priority. Other laboratory values are more relevant in this situation.

Choice B rationale:

Hematocrit. Rationale: Hematocrit measures the proportion of red blood cells in the blood and is not directly related to wound drainage or infection. It is not the most relevant parameter to assess in this situation.

Choice C rationale:

Neutrophil count. Rationale: Neutrophils are a type of white blood cell that plays a key role in the body's immune response, particularly against bacterial infections. Elevated neutrophil counts can indicate an ongoing infection, so monitoring this value is important when assessing purulent wound drainage.

Choice D rationale:

Platelet count. Rationale: Platelet count measures the number of blood clotting cells in the blood and is not directly related to wound drainage or infection. It is not the most relevant parameter to assess in this situation.

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

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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

While changing a client's postoperative dressing, the nurse observes purulent drainage at the site.Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

Correct Answer is C

Explanation

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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