Aydan Miller is an 8-year-old with a history of Type 1 Diabetes. Current medications are: Glargine (Lantus; Insulin 5 units subcutaneous at bedtime Insulin lispro (Humalog) 1 unit per 50 grams of carbohydrates eaten. Aydan has just eaten 150 grams of carbs for lunch at school.

Which of the following medications will the nurse prepare to administer to Aydan?

3 units of his prescribed long acting insulin.

3 units of his prescribed rapid acting insulin.

5 units of his prescribed long acting insulin.

150 units of prescribed rapid acting insulin.

Answer and Explanation

The Correct Answer is B

According to the given information, Aydan's insulin lispro (Humalog) dosage is 1 unit per 50 grams of carbohydrates eaten. As Aydan has just consumed 150 grams of carbs for lunch, we can calculate the insulin dose as follows:

Insulin dose = Carbohydrates eaten / Insulin-to-carbohydrate ratio Insulin dose = 150 grams / 50 grams/unit

Insulin dose = 3 units

Therefore, the nurse should prepare to administer 3 units of Aydan's prescribed rapid-acting insulin (Insulin lispro) to cover the carbohydrates he consumed for lunch. The long-acting insulin (Glargine) is typically given at bedtime to provide a basal insulin level and is not directly related to meal coverage.

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Correct Answer is C

Explanation

The patient bending over the sink while brushing teeth requires intervention by the nurse. After hip arthroplasty using the posterior approach, the patient should avoid bending at the hip greater than 90 degrees to prevent dislocation of the prosthesis. The nurse should instruct the patient to bend at the knees instead of the hips while brushing teeth or doing any other activity that requires bending. The other actions mentioned in the options are appropriate for a patient after hip arthroplasty.

A. Wound evisceration B. Wound dehiscence C. Wound infection D. Wound tunneling

Correct Answer is A

Explanation

Wound evisceration refers to the protrusion of internal organs or tissues through an open wound. In this case, with the separation of the wound and extrusion of the intestine through the opening, it is a clear indication of wound evisceration. It is a surgical emergency that requires immediate medical attention.

Wound dehiscence, on the other hand, refers to the separation or opening of a previously closed surgical incision or wound. It does not involve the extrusion of internal organs or tissues.

Wound infection refers to the presence of infectious microorganisms in the wound, leading to inflammation and other signs of infection.

Wound tunneling refers to the formation of narrow channels or tunnels within the wound, often caused by improper wound healing or infection.

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Naxlex Comprehensive Predictor Exams

A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?

Correct Answer is C

Explanation

The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the intestine through the opening. How does the nurse document this finding?

Correct Answer is A

Explanation

The nurse is caring for a patient who had abdominal surgery yesterday and is receiving morphine through patient controlled analgesia (PCA). What action by the nurse is a priority?

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Which assessment information is most important for the nurse to obtain when evaluating whether treatment of a patient with anaphylactic reaction has been effective?

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