Patient Data

Exhibits

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

According to the information gathered in the nurse's assessment, the nurse should prepare to give the client
dropdown
and
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Oral carbohydrates: The client is not currently hypoglycemic; in fact, the blood glucose is elevated at 279 mg/dL. Oral carbohydrates are typically given to treat low blood glucose, not high glucose. Administering carbohydrates here would worsen hyperglycemia.

Insulin lispro: The client’s blood glucose is significantly elevated and requires correction. Insulin lispro is a rapid-acting insulin designed to lower high blood glucose quickly, making it the correct medication to administer while monitoring closely for improvement.

Insulin glargine: Although the client is prescribed insulin glargine once daily, she has already received her dose earlier this morning before surgery. Giving another dose now would risk insulin stacking and dangerous hypoglycemia later, so it is not safe to administer at this point.

A bolus of IV fluids: The client is showing signs of early dehydration — thirst and low urine output — likely due to hyperglycemia-induced osmotic diuresis. Administering a bolus of IV fluids will help restore circulating volume, prevent further dehydration, and support tissue perfusion.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

24 hrs: Insulin glargine provides a steady, basal level of insulin for about 24 hours after injection. It is specifically designed for once-daily dosing to maintain blood glucose stability throughout the day and night.

15 mins: Fifteen minutes is too soon for insulin glargine to start working. This onset time is typical for rapid-acting insulins like lispro or aspart, not for long-acting basal insulins like glargine.

1 hr: Insulin glargine begins to work slowly after administration, with an onset typically around 1 hour. It does not act immediately like rapid insulins but instead gradually lowers blood glucose over an extended time.

48 hrs: A duration of 48 hours is too long for insulin glargine. Its therapeutic window is designed to last about 24 hours, supporting once-daily dosing without significant overlapping or stacking effects if scheduled correctly.

A. Hold one nostril closed while spraying the other nostril. B. Use the inhaler when first awakening in the morning. C. Avoid shaking the inhaler immediately before using D. Angle the tip of the inhaler upward while spraying.

Correct Answer is A

Explanation

A. Hold one nostril closed while spraying the other nostril: Closing one nostril while administering the spray ensures the medication is delivered more effectively into the nasal passages, allowing for better absorption and symptom control by maximizing the contact of the medication with the nasal mucosa.

B. Use the inhaler when first awakening in the morning: The specific timing of intranasal corticosteroid use may vary depending on the healthcare provider's instructions and the client's symptom pattern. While morning use can be beneficial due to peak allergy symptoms, it is not the most critical technique instruction. Proper administration ensures better drug efficacy regardless of timing.

C. Avoid shaking the inhaler immediately before using: Some nasal sprays, especially suspensions, require shaking to evenly distribute the medication. Advising not to shake could lead to inconsistent dosing and reduced effectiveness, depending on the specific medication.

D. Angle the tip of the inhaler upward while spraying: The inhaler tip should be angled slightly outward toward the ear, not straight upward, to target the correct nasal structures. Spraying directly upward could lead to discomfort or less effective drug delivery.

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Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. According to the information gathered in the nurse's assessment, the nurse should prepare to give the client dropdown and dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse should expect for the insulin glargine to start working in dropdown. and to continue working for dropdown.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

The nurse is instructing a client with allergic rhinitis about the correct technique for using an intranasal inhaler. Which instruction is most important for the nurse to provide the client?

Correct Answer is A

Explanation

When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously applied patch is intact on the client's upper back and the client denies pain. Which action should the nurse take?

An older adult client is being discharged after a myocardial infarction (MI) and receives a new prescription for atenolol. Which instruction is most important for the nurse to include in this client's teaching plan?

Patient Data Exhibits Which home medication(s) may affect the amount of insulin needed by the client? Select all that apply.

After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take?

After receiving five doses of filgrastim, the nurse notes that the client's white blood cell count has increased from 2,500/mm3 (2.5 x 10 /L) to 5,000/mm3 (5 x 105/L). Which action should the nurse implement?Reference Range:White Blood Cell (WBC) [5,000 to 10,000/mm3 (5 to 10 x 109/L)]

A client diagnosed with myasthenia gravis receives a prescription for pyridostigmine. Which intervention should the nurse implement when preparing to administer this medication?

The nurse is administering the muscle relaxant baclofen PO to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?

Patient Data

Exhibits

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

According to the information gathered in the nurse's assessment, the nurse should prepare to give the client
dropdown
and
dropdown