Exhibits
It is 1800, and the client has a scheduled dose of insulin glargine due. The client has a regular diet tray ordered with 60 carbohydrates. The tray has not yet arrived in the room.
For each nursing action below, click to specify if the action is indicated, contraindicated or nonessential. Each row must have one option selected.
Give insulin lispro 4 units
Verify that the client can count carbohydrates
Mix the insulin lispro and insulin glargine in one syringe
Give insulin glargine 12 units
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"A"}}
- Give insulin lispro 4 units: Contraindicated - Insulin lispro is a rapid-acting insulin that should be given in relation to meal intake. Since the client's meal tray has not arrived, administering insulin lispro could lead to hypoglycemia.
- Verify that the client can count carbohydrates: Nonessential - While it’s useful to know if a client can count carbohydrates, it’s not critical for administering scheduled long-acting insulin like insulin glargine.
- Mix the insulin lispro and insulin glargine in one syringe: Contraindicated - Insulin glargine is a long-acting insulin and should not be mixed with other insulins in the same syringe.
- Give insulin glargine 12 units: Indicated - Insulin glargine is a long-acting insulin that is typically given at a set time each day and is not dependent on immediate food intake, so it is appropriate to administer the scheduled dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Reducing fluid intake is not necessary for managing urinary retention with tamsulosin and could exacerbate symptoms.
B. Tamsulosin can cause orthostatic hypotension, so it is important to advise the client to stand and sit up slowly to prevent dizziness and falls.
C. The time of day the medication is taken is less critical compared to managing side effects related to blood pressure changes.
D. Tamsulosin is typically taken once daily, not on a twice-a-week schedule.
Correct Answer is C
Explanation
A. Constipation is more indicative of hypothyroidism rather than an excess of levothyroxine.
B. Decreased appetite could be related to hypothyroidism or other factors, but it is not a primary symptom of levothyroxine overdose.
C. Restlessness is a sign of hyperthyroidism or excessive levothyroxine, indicating that the dosage might be too high.
D. Intolerance to cold is usually associated with hypothyroidism, not an excess of levothyroxine.
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