The nurse is to administer insulin to a diabetic client. The finger stick blood glucose is 128.

The client has 4 units of insulin lispro scheduled with meals in addition to the following adjustments scale. How many units of insulin will the nurse administer?

The nurse has provided education to a patient with diabetes who is starting on insulin injections.

The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

Which tuberculosis patient is at the greatest risk of developing a drug-resistant form of the disease?

A patient has been administered famotidine.

Which observation would suggest that the medication has not had its intended effect?

A client is prescribed 8mg of ondansetron IV to manage the side effects of chemotherapy, specifically nausea and vomiting. When is the optimal time for the nurse to administer this medication?

The nurse is reconciling medications for a new client.

Given the current medications listed below, which assessment finding should the nurse be most concerned about? Current Home Medications: metoprolol 25 mg PO daily metformin 500 mg PO BID isoniazid 600 mg IM two times per week rifampin 600 mg PO Daily streptomycin 1 gram IM two times per week acetaminophen 1000 mg PO Q6 hours as needed for pain or fever

A nurse is about to give a client amoxicillin but discovers that the client had a rash when taking penicillin in the past. What should the nurse’s next step be?

A client has been prescribed insulin based on carbohydrate counting adjustments. The carbohydrate ratio is 1:10, the premeal target blood sugar is 110, and the high blood sugar correction factor is 50. The client’s premeal blood sugar was 225 and they consumed the following for dinner: 6 ounces baked chicken breast (0 g), 1 cup brown rice (45 g), 1 cup steamed broccoli (12 g), 2 TBS margarine (0 g). How many units of insulin will the nurse administer for the carbohydrates that were consumed?

A patient is prescribed erythromycin for an infection.

What medication should the nurse instruct the patient to avoid while on erythromycin?

A patient has been on antibiotic therapy for 2 weeks and reports watery diarrhea and abdominal cramps. What intervention should the nurse suggest to the healthcare provider?

A patient with liver failure has been admitted with hepatic encephalopathy and is prescribed lactulose every 2 hours. The patient is currently oriented and has had 6 loose, watery stools since 0700.

The 1400 dose of lactulose is due.

What should be the nurse’s next course of action?