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 B

Explanation

Pernicious anemia is a type of anemia that occurs due to a lack of intrinsic factor, a protein necessary for the absorption of vitamin B12 (cobalamin) in the digestive system. As a result, patients with pernicious anemia are unable to absorb sufficient amounts of vitamin B12 from dietary sources. The treatment for pernicious anemia involves regular administration of cobalamin (B12) injections to bypass the impaired absorption and provide the necessary vitamin B12 directly.

Oral ferrous sulfate tablets are not the appropriate treatment for pernicious anemia. Ferrous sulfate is a form of iron supplement used to treat iron deficiency anemia, which is different from pernicious anemia.

Iron dextran infusions are also not indicated for pernicious anemia. Iron dextran is used for iron replacement therapy in cases of iron deficiency anemia, but it does not address the underlying issue of vitamin B12 deficiency in pernicious anemia.

Routine blood transfusions may be necessary in some cases of pernicious anemia, especially if the patient is severely anemic. However, the primary treatment for pernicious anemia is cobalamin (B12) injections, which provide the necessary vitamin B12 that the patient is unable to absorb.

A. The 24-hour oral intake is 600 ml greater than the total output. B. The patient's temperature is 100.3" F 137.9" C). C. The patient reports abdominal pain at level 6 (0 to 10 scale) when ambulating D. The patient's calf is swollen, warm, and painful.

Correct Answer is D

Explanation

These symptoms suggest the possibility of deep vein thrombosis (DVT), which is a potentially serious complication following surgery. DVT occurs when a blood clot forms in a deep vein, commonly in the lower extremities. The symptoms of a swollen, warm, and painful calf can indicate the presence of a DVT.

DVT is a medical emergency that requires immediate attention and intervention to prevent further complications such as a pulmonary embolism (where the blood clot travels to the lungs). Prompt evaluation and treatment, such as anticoagulant therapy, are necessary to prevent complications

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Naxlex Comprehensive Predictor Exams

The nurse will plan to teach a patient who has pernicious anemia about the need for:

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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