Share This Link

This choice suggests that the nurse would administer 4.5 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice underestimates the amount of insulin needed, which could lead to hyperglycemia, or high blood sugar.

This choice suggests that the nurse would administer 6.2 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice overestimates the amount of insulin needed, which could lead to hypoglycemia, or low blood sugar.

This choice suggests that the nurse would administer 7.1 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice significantly overestimates the amount of insulin needed, which could lead to hypoglycemia, or low blood sugar.

Metabolic alkalosis is a condition characterized by a high level of bicarbonate in the blood, leading to an increase in blood pH. While antacids like calcium carbonate can potentially cause metabolic alkalosis if taken in large amounts, it is less likely to occur in patients taking the medication for GERD, as the medication is used to neutralize stomach acid. Therefore, while it’s a potential risk, it’s less likely than hypercalcemia.

Hepatotoxicity, or liver damage, is not typically associated with the use of calcium carbonate. This medication does not have a direct effect on the liver, so it’s unlikely to cause hepatotoxicity unless the client has an underlying liver condition or is taking other medications that can cause liver damage.

Hyperphosphatemia, or high levels of phosphate in the blood, is not typically a risk associated with the use of calcium carbonate. In fact, calcium carbonate can bind to phosphate in the gut and reduce phosphate absorption, which can help manage high phosphate levels in certain conditions. Therefore, this choice is not the most likely risk for the client.

A client with a hip fracture and is on bedrest for 4 weeks may indeed experience constipation due to decreased physical activity. However, this situation would not necessarily require the nurse to question the order for psyllium. Psyllium is a bulk-forming laxative that can help relieve constipation by increasing stool bulk and improving bowel regularity.

Morphine is an opioid medication that can cause constipation as a side effect. Therefore, a client who is experiencing severe pain and is prescribed morphine may benefit from a laxative like psyllium to help manage opioid-induced constipation. This situation would not necessarily require the nurse to question the order for psyllium.

A client who is post-operative and is on a clear liquid diet may experience constipation due to the low fiber content of the diet. However, this situation would not necessarily require the nurse to question the order for psyllium. Once the client progresses to a regular diet, psyllium can help add bulk to the stool and promote regular bowel movements.

Hyponatremia, or low sodium levels, is not typically associated with the use of milk of magnesia. Milk of magnesia works by drawing water into the intestines, which can help to soften the stool and stimulate bowel movements. While it can affect fluid balance, it does not directly affect sodium levels in the body.

Hypokalemia, or low potassium levels, is not typically associated with the use of milk of magnesia. While milk of magnesia can affect fluid and electrolyte balance, it does not directly affect potassium levels in the body.

Hypercalcemia, or high calcium levels, is not typically associated with the use of milk of magnesia. Milk of magnesia does not contain calcium, so it would not contribute to an increase in calcium levels in the body.

A persistent cough is not directly related to the administration of famotidine. Famotidine is a histamine-2 blocker that works by decreasing the amount of acid the stomach produces. It is used to treat and prevent ulcers in the stomach and intestines and to treat conditions in which the stomach produces too much acid. A persistent cough could be a symptom of many other conditions, but it is not a direct indicator of the effectiveness or ineffectiveness of famotidine.

The absence of a sour taste in the mouth, often associated with acid reflux, could suggest that famotidine is working as it should. However, the absence of a sour taste does not definitively indicate that the medication has had its intended effect, as the patient may not have experienced this symptom even before taking the medication.

While headaches are listed as a common side effect of famotidine, the presence of headaches does not necessarily suggest that the medication has not had its intended effect. Headaches could be caused by a variety of factors and are not a direct indicator of the level of stomach acid or the effectiveness of famotidine.

While continuous pulse oximetry can provide useful information about a patient’s oxygen saturation levels, it is not the most crucial step before administering amphotericin B. Amphotericin B is an antifungal medication used to treat serious, potentially life-threatening fungal infections. It does not directly affect oxygen saturation levels.

The rate at which amphotericin B is administered can be important, as the medication must be given slowly through an IV infusion, which can take from 2 to 6 hours to complete. However, setting the IV pump to deliver the medication over a specific span of time is not the most crucial step before administration.

Continuous cardiac monitoring can be important in certain situations, but it is not the most crucial step before administering amphotericin B. While amphotericin B can cause some side effects related to the heart, such as changes in heart rate or blood pressure, these are not typically the primary concerns before administration.

It is not advisable for a patient to discontinue radioactive iodine therapy at any time if they feel uncomfortable. Radioactive iodine therapy is a safe and effective treatment for certain types of thyroid cancer. Discontinuing the medication without medical advice could lead to ineffective treatment.

Increasing the consumption of iodine-rich foods is not necessary when a patient is prescribed radioactive iodine. The body’s thyroid cells absorb the radioactive iodine, which then destroys the cells. Consuming additional iodine would not enhance this process.

Using a straw to drink the medication is not necessary. Radioactive iodine is usually given in pill form, not as a liquid. Therefore, there is no risk of it staining the patient’s teeth.

Withholding the dose and contacting the doctor for daily stool count parameters is not necessary in this situation. The patient is currently oriented, which suggests that the lactulose is effectively managing their hepatic encephalopathy.

Administering the medication because diarrhea is a common side effect is not the correct course of action. The presence of loose, watery stools is not merely a side effect, but a desired therapeutic effect of lactulose in the treatment of hepatic encephalopathy.

Removing fall precautions due to changes in mental status is not necessary in this situation. The patient is currently oriented, which suggests that the lactulose is effectively managing their hepatic encephalopathy.

Infusing the medication slowly over a period of 60-90 minutes is a common practice for many intravenous medications to prevent adverse reactions. However, this is not the first step a nurse should take before administering intravenous acyclovir.

While diluting certain medications in a liter of normal saline can be a part of the preparation process, it is not the first step a nurse should take before administering intravenous acyclovir.

Examining the patient for any open herpetic lesions is important when administering acyclovir, as the medication is used to treat herpes infections. However, this is not the first step a nurse should take before administering the medication.