Mr. D receives a daily injection of 70/30 NPH/regular insulin premix at 7:00 AM. The nurse expects that a hypoglycemic reaction is most likely to occur between:

09:00 AM and 11:00 AM

08:00 AM and 10:00 AM

07:00 AM and 09:00 AM

12:00 PM and 3:00 PM

Answer and Explanation

The Correct Answer is A

The peak time of 70/30 NPH/regular insulin premix is usually 2 to 12 hours after injection, with an average peak time of 4 to 6 hours. This means that the highest risk of hypoglycemia is typically 4 to 6 hours after the injection, which would fall between 11:00 AM and 1:00 PM. However, it's important to note that hypoglycemic reactions can occur at any time, so the client should be monitored closely throughout the day for any signs or symptoms of low blood sugar.

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Correct Answer is A

Explanation

Excess ﬂuid volume related to intake greater than output would be the most appropriate nursing diagnosis for a patient with symptoms of DI (diabetes insipidus). This condition results in excessive urine output and, as a consequence, can lead to dehydration and electrolyte imbalances. Therefore, monitoring and managing ﬂuid volume is a priority for patients with DI.

Risk for impaired skin integrity related to generalized edema is more commonly associated with conditions that cause ﬂuid retention such as heart failure, liver failure, or kidney disease, rather than DI.

Activity intolerance related to muscle cramps and weakness is a possible nursing diagnosis for patients with conditions that aﬀect muscle function, such as muscular dystrophy or multiple sclerosis, but not specifically for DI.

Insomnia related to waking at night to void is more commonly associated with urinary frequency or nocturia due to conditions such as urinary tract infections or benign prostatic hyperplasia, but not specifically for DI.

A. Peppermint tea might be helpful in reducing your symptoms. B. You should avoid eating between meals to avoid acid secretion. C. You will need to keep the head of your bed elevated on blocks. D. Vigorous physical activities may increase the incidence of reﬂux.

Correct Answer is C

Explanation

When teaching a patient with newly diagnosed GERD, the nurse will include that they will need to keep the head of their bed elevated on blocks. This helps prevent stomach acid from ﬂowing back into the esophagus while sleeping.

Peppermint tea might not be helpful in reducing GERD symptoms as it can relax the lower esophageal sphincter and worsen reﬂux.

Eating between meals is not recommended as it can increase acid secretion. Vigorous physical activities may increase the incidence of reﬂux.

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Mr. D receives a daily injection of 70/30 NPH/regular insulin premix at 7:00 AM. The nurse expects that a hypoglycemic reaction is most likely to occur between:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is creating the care plan for a patient with symptoms of DI who was admited to the hospital for evaluation and treatment of the condition. An appropriate nursing diagnosis for the patient is:

Correct Answer is A

Explanation

Which information will the nurse include when teaching a patient with newly diagnosed GERD?

Correct Answer is C

Explanation

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