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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Montelukast is not used for immediate relief during an asthma attack; it is a maintenance medication.
B. Montelukast is used to control chronic asthma symptoms and does not replace the need for inhalers used for acute symptoms or daily management.
C. Montelukast does not provide immediate relief of an asthma attack; it is for long-term control.
D. Montelukast should be taken regularly, usually in the evening, to effectively manage and control asthma symptoms.

A. Hold the dose of IV pantoprazole until the client has finished eating breakfast. B. Provide a PRN dose of antacid along with the scheduled medications. C. Instruct the client to take the dose of sucralfate PO while eating breakfast. D. Administer both of the medications before breakfast as scheduled.

Correct Answer is D

Explanation

A. Pantoprazole should be given before breakfast to inhibit gastric acid secretion; delaying it until after breakfast would reduce its effectiveness.
B. Administering an antacid alongside sucralfate may interfere with the absorption of sucralfate.
C. Sucralfate should be taken on an empty stomach before meals to form a protective barrier on the ulcer site, not while eating.
D. Both pantoprazole and sucralfate are scheduled to be administered before breakfast to maximize their effectiveness in reducing gastric acid and protecting the ulcer site.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?

Correct Answer is D

Explanation

A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take?

Correct Answer is D

Explanation

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