The nurse is reviewing a teaching tool created for insulin therapy Which statement on the tool should be corrected? Select all that apply.

NPH insulin may be mixed with pens

insulin detemir is administered to taking meals

insulin glargine may be used to treat gestational diabetes

Regular insulin can be administered intravenously

Lispro is a rapid acting insulin

Answer and Explanation

Correct Answer : B,C

A. NPH insulin may be mixed with pens. This statement is correct. NPH insulin can be mixed with other insulins, and it is available in pens for ease of administration.

B. Insulin detemir is administered once or twice daily, not necessarily with meals. Detemir is a long-acting insulin and can be taken once or twice daily, depending on the individual's specific treatment plan. It does not need to be strictly timed with meals.

C. Insulin glargine is a long-acting insulin and is generally not used as a first-line treatment for gestational diabetes. Short-acting insulins are typically recommended. Gestational diabetes is usually managed with short-acting insulins (like regular insulin) due to their faster onset and shorter duration of action. Long-acting insulins like glargine are not typically used in this context.

D. Regular insulin can be administered intravenously. This is a correct statement. Regular insulin can indeed be given intravenously in a hospital setting for precise control of blood glucose levels.

E. Lispro is a rapid-acting insulin. This statement is accurate. Lispro is a rapid-acting insulin analog used to control high blood sugar levels during and after meals. It has a fast onset of action.

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Correct Answer is A

Explanation

A. Correct. Chvostek's sign is a clinical sign of hypocalcemia. It is elicited by tapping on the facial nerve, just anterior to the ear, and observing for facial twitching or spasm.

B. Incorrect. Kernig's sign is a test for assessing meningitis and involves flexing the hip and knee at 90-degree angles and then extending the knee. This test is not relevant to the client's reported symptoms.

C. Incorrect. Brudzinski's sign is another test for assessing meningitis. It involves flexing the neck forward and observing for involuntary flexion of the hips and knees. This test is not relevant to the client's reported symptoms.

D. Incorrect. Babinski's sign is used to assess upper motor neuron lesions. It involves stimulating the sole of the foot, and in a positive response, the big toe extends upward. This test is not relevant to the client's reported symptoms.

Correct Answer is ["4"]

Explanation

Step 1: Convert the Prescribed Dose to Milligrams

The prescribed dose is 0.4 grams (g), but the medication strength is in milligrams (mg). We need to use the same unit for both.

There are 1000 mg in 1 g.
To convert 0.4 g to mg, we multiply by 1000.
0.4×1000=400
The prescribed dose is 400 mg.

Step 2: Calculate the Volume (in mL) Needed for the Dose

We know that 5 mL of the syrup contains 100 mg of medication. We need to find out how many mL are needed for 400 mg.

To find out how many groups of 100 mg are in 400 mg, we divide:
400÷100=4
This means we need 4 times the volume of syrup that contains 100 mg.
The volume for 100 mg is 5 mL. So, we multiply 4 by 5 mL.
4×5mL=20mL
The total volume needed per dose is 20 mL.

Step 3: Convert the Volume to Teaspoons

The measuring spoon is in teaspoons (tsp). We need to convert 20 mL to teaspoons.

There are 5 mL in 1 teaspoon.
To find out how many teaspoons are in 20 mL, we divide 20 by 5.
20÷5=4
The dose is 4 teaspoons.

The nurse will instruct the client to take 4 teaspoons.

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The nurse is reviewing a teaching tool created for insulin therapy Which statement on the tool should be corrected? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?

Correct Answer is A

Explanation

The primary health-care provider prescribes a cough syrup 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?

Correct Answer is ["4"]

Explanation

Step 1: Convert the Prescribed Dose to Milligrams

Step 2: Calculate the Volume (in mL) Needed for the Dose

Step 3: Convert the Volume to Teaspoons

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