Exhibits

Which of the following 3 provider prescriptions does the nurse anticipate?

Regular insulin 20 units subcutaneously

Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L

Initiate cardiac monitoring

0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr

Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L

Dextrose 5% in water (DSW) intravenous at 5 ml/kg/hr for 4 hr

Blood glucose checks every 4 hr

Insert indwelling urinary catheter

Answer and Explanation

Correct Answer : B,D,E

. Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L

The client's potassium level is slightly elevated at 5.5 mEq/L. Potassium replacement may be necessary if the level drops below 5.0 mEq/L, which is within the anticipated range for the nurse's actions.

D.0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr

This prescription addresses the need for fluid resuscitation to correct dehydration and electrolyte imbalances often seen in DKA. The client's initial blood pressure of 96/65 mm Hg suggests some degree of dehydration, further supporting the use of isotonic saline.

E.Regular insulin continuous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L

This prescription aligns with the client's presentation of severe hyperglycemia (468 mg/dL) and acidosis (pH 7.30), indicating diabetic ketoacidosis (DKA). Insulin infusion is crucial for lowering blood glucose levels and correcting acidosis.

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Correct Answer is C

Explanation

C. This action demonstrates advocacy by ensuring the client has access to necessary support services that can help them maintain independence and receive adequate care in their home environment.

A Reminding the client about medication adherence is important for the client's health management, but they do not directly advocate for the client's autonomy and support system.

B. While this advice is prudent for reducing infection risk, it may limit the client's social interactions and independence. Advocacy involves balancing health promotion with the client's autonomy and quality of life.

D. Raw vegetables may carry a risk of foodborne infections, which can be more severe for individuals with compromised immune systems, such as those with AIDS.

A. "I understand that the dietary choices can seem overwhelming." B. "I can assist you with making a list of foods you like for the dietitian." C. "The dietitian will provide you with the best food choices to manage your diabetes." D. "Managing your diabetes will require you to make accommodations."

Correct Answer is B

Explanation

B. This statement encourages the client to actively participate in their dietary planning by involving them in the process of selecting foods they enjoy. It empowers the client to collaborate with the dietitian in creating a meal plan that suits their preferences

A While empathetic, it does not actively encourage the client's involvement in their care plan or decision-making process.

C. While this statement reassures the client about the expertise of the dietitian, it does not actively encourage the client's active participation or involvement in decision-making regarding their dietary choices.

D. This statement acknowledges the need for adjustments but does not specifically encourage the client's active involvement in planning their dietary choices.

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Exhibits Which of the following 3 provider prescriptions does the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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Exhibits

Which of the following 3 provider prescriptions does the nurse anticipate?