With what client should the nurse question the administration of human insulin?

A client who has been diagnosed with gestational diabetes.

A client with type 2 diabetes, controlled with oral antidiabetic agents, who has a systemic infection.

A client whose type 2 diabetes is controlled by diet and exercise.

A client who has been living with type 1 diabetes for 20 years.

Answer and Explanation

The Correct Answer is C

The nurse should question the administration of human insulin to this client because they do not need exogenous insulin to maintain normal blood glucose levels. Human insulin is indicated for clients who have type 1 diabetes or type 2 diabetes that cannot be controlled by oral antidiabetic agents, diet, or exercise.

Choice A is wrong because a client who has been diagnosed with gestational diabetes may need human insulin to control their blood glucose levels during pregnancy, as oral antidiabetic agents are contraindicated.

Choice B is wrong because a client with type 2 diabetes, controlled with oral antidiabetic agents, who has a systemic infection may need human insulin to manage their blood glucose levels during periods of stress, as infection can increase blood glucose levels and impair the action of oral antidiabetic agents.

Choice D is wrong because a client who has been living with type 1 diabetes for 20 years needs human insulin to replace the endogenous insulin that their pancreas cannot produce.

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Correct Answer is C

Explanation

Metamucil Psyllium Fiber Supplement Sugar-Free Orange Smooth Powder - Shop Medicines & Treatments at H-E-B

The correct answer is c. The importance of consuming adequate amounts of water.

Rationale for Choice A:

Statement:The need to monitor for systemic side effects.
Rationale:It's not accurate to prioritize monitoring for systemic side effects when teaching a patient about psyllium (Metamucil).Psyllium is a bulk-forming laxative that primarily acts within the gastrointestinal tract,and systemic side effects are rare.While it's essential to be aware of potential side effects,focusing on them during initial teaching might cause unnecessary anxiety.

Rationale for Choice B:

Statement:The need to use the dry form of Metamucil to prevent cramping.
Rationale:This statement is incorrect.It's generally recommended to mix psyllium with water or another liquid before ingestion.Consuming the dry form can increase the risk of choking and might not adequately hydrate stool.

Rationale for Choice C:

Statement:The importance of consuming adequate amounts of water.
Rationale:This is the most crucial information to emphasize when teaching about psyllium.Psyllium works by absorbing water and forming a bulky gel that softens stool and promotes bowel movements.Without sufficient water intake,psyllium can cause constipation to worsen or lead to intestinal obstruction.

Rationale for Choice D:

Statement:The onset of action of 30 to 60 minutes after administration.
Rationale:This statement is inaccurate.Psyllium is not a fast-acting laxative.It typically takes 12-72 hours to produce a bowel movement.Informing patients about the expected time frame for results is essential to manage expectations and prevent unnecessary medication overuse.

A. To decrease adrenal suppression. B. To eliminate adverse side effects. C. To prevent steroid tolerance. D. To prolong therapeutic effects.

Correct Answer is A

Explanation

Prednisone is a glucocorticoid that suppresses the production of natural cortisol by the adrenal glands. Taking prednisone on alternate days allows the adrenal glands to recover and produce some cortisol on the days without prednisone.

Corticosteroids and Adrenal Glands

Choice B is wrong because prednisone does not eliminate adverse side effects, but may cause some such as weight gain, fluid retention, increased blood pressure, increased blood glucose, and increased risk of infection.

Choice C is wrong because there is no evidence of steroid tolerance, which means that higher doses are needed to achieve the same effect.

Choice D is wrong because prednisone does not prolong therapeutic effects, but may decrease them over time due to feedback inhibition of cortisol secretion.

Normal ranges for cortisol are 6 to 23 mcg/dL in the morning and 2 to 11 mcg/dL in the afternoon.

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With what client should the nurse question the administration of human insulin?

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Naxlex Comprehensive Predictor Exams

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient?

Correct Answer is C

Explanation

The nurse is providing discharge teaching for a client prescribed prednisone to be taken on alternate days. The client asks why he cannot just take half a pill every day. What rationale should the nurse describe?

Correct Answer is A

Explanation

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