Mr Ozz, a 45-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830.

The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:

1530 and 2130

1730 and 2330

1130 and 1330

1330 and 1930

Answer and Explanation

The Correct Answer is B

Choice A rationale: This does not match the peak time of NPH insulin.
Choice B rationale: This does not match the peak time of NPH insulin.
Choice C rationale: This does not match the peak time of NPH insulin.
Choice D rationale: This is because NPH insulin is an intermediate-acting insulin that has an onset of action of 1 to 2 hours, a peak of 6 to 12 hours, and a duration of 18 to 24 hours. Therefore, if Albert is given NPH insulin at 0730, the peak effect will occur between 1330 and 1930, which means that his blood glucose level will be lowest during this time.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale: In ALS, impaired physical mobility due to decreased motor agility and the inability to ambulate is a direct consequence of the disease.

Choice B rationale: Hopelessness might be a possible emotional response but doesn't address the client's physical limitations due to ALS.

Choice C rationale: Caregiver role strain is related to the family's ability to manage caregiving responsibilities and is not the primary concern for the client's physical mobility.

Choice D rationale: Impaired memory is not the primary issue in ALS; the client's inability to ambulate due to decreased motor function is the main focus for this nursing diagnosis.

A. Altered level of consciousness B. The onset of symptoms is months to years C. Progressively worsens D. May be caused by fluid and electrolyte imbalances or infection E. May be caused by uncontrolled hypertension and diabetes F. May cause impairments in judgment G. Memory impairments

Correct Answer is ["A","D","F"]

Explanation

Choice A rationale: Altered consciousness is a hallmark feature of delirium, where individuals may experience fluctuations in awareness.

Choice B rationale: Delirium typically has an acute onset rather than symptoms developing over months to years.

Choice C rationale: Delirium often has a fluctuating course, rather than a consistent progressive decline.

Choice D rationale: Delirium can result from various factors including fluid/electrolyte imbalances or infections.

Choice E rationale: While these conditions might contribute to cognitive impairments, they are not typically associated with delirium.

Choice F rationale: Delirium can affect judgment, but it's not a defining feature.

Choice G rationale: While memory impairments can be seen in delirium, they're often accompanied by altered consciousness and fluctuations in awareness.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client arrives at the clinic with his daughter, reporting memory impairments: Exhibits Which of the following clinical feature are consistent with delirium? Select all that apply?

Correct Answer is ["A","D","F"]

Explanation

The nurse is teaching a client with Parkinson's disease about dietary considerations. The nurse understands that this client is at highest risk for:

The nurse observes a novice nurse caring for a client experiencing status epilepticus. It will require immediate intervention if the novice nurse does which of the following?

A-55-year old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury?

Which of the following patients is most likely experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms?

The nurse reviews the laboratory reports of a client and concludes that the client has diabetes. Which finding helped the nurse to reach this conclusion?

A client is receiving 10 mL/hr of a prescribed regular insulin infusion. The label on the bag reads 50 units of regular insulin in 100 mL of 0.9% saline. How many units of insulin is the client receiving every hour? Fill in the blank. Round your answer to the nearest whole number.

A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?