When giving insulin with parental input, what do you need to document? a) Nurse calculated insulin dose b) Amount of adjustment suggested by parent c) Justification for adjustment d) Nursing judgement (agree or disagree) e) Dose given f) All of the above
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When giving insulin with parental input, what do you need to document?
a) Nurse calculated insulin dose
b) Amount of adjustment suggested by parent
c) Justification for adjustment
d) Nursing judgement (agree or disagree)
e) Dose given
f) All of the above
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- ng insulin with parental input, what do you need to document? a) Nurse calculated dosage b) Amount of adjustment requested by parent c) Justification for adjustment d) Nursing judgment (agree or disagree) e) Dose given f)All of the above 20. Jessie comes to the medical office for pre-lunch check. BG-210 mg/dL, lunch - 59g, Target - 120 mg/dL, ISF = 1:60, I:C = 1:30 How much insulin should you administer? #g's carb in meal #g's carb in I:C Write your answers below and show calculations: = X Units to the finora stom bG - Target bG ISF = X UnitsWhen monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for as an indication that the medication therapy is successful? a) Increased insulin levelsb )Decreased diarrheac )Improved nasal patencyd )Decreased thirsA nurse is assessing a patient with diabetes who is experiencing symptoms of hyperglycemia. Which intervention should the nurse implement first? a) Administering insulin as prescribed b) Providing the patient with water to drink c) Checking the patient's blood glucose level d) Offering the patient a snack containing carbohydrates
- The nurse is performing an assessment of a patient who is asking for a prescription for sildenafil (Viagra). Which finding would be a contraindication to its use? a )Age of 65 yearsb) History of thyroid diseasec) Medication list that includes nitratesd )Medication list that includes saw palmettoA patient is taking metformin for new-onset type 2 diabetes mellitus. When reviewing potential adverse effects, the nurse will include information about: (Select all that apply.) a )Abdominal bloatingb )Nauseac) Diarrhead )Headachee )Weight gainf )Metallic tasteWhen educating patients about the safe use of herbal products, the nurse remembers to include which concept? a )Herbal and over-the-counter products are approved by the FDA and under strict regulation. b )Herbal products are tested for safety by the FDA and the U.S. Pharmacopeia. c )No adverse effects are associated with these products because they are natural and may be purchased without a prescription. d )Take the product with caution because labels may not contain reliable information
- The nurse is assessing a patient who has been taking quinidine and asks about adverse effects. An adverse effect associated with the use of this drug includes: a )muscle pain.b )tinnitus.c )chest pain.d )excessive thirstDuring long-term corticosteroid therapy, the nurse will monitor the patient’s laboratory results for adverse effects, such as: (Select all that apply.) a )Increased serum potassium levelsb )Decreased serum potassium levelsc )Increased sodium levelsd )Decreased sodium levelse) Hyperglycemiaf )HypoglycemiaA student with diabetes is in a class with an upcoming field trip. What is the appropriate protocol?a) Inform the parents that students with diabetes cannot participate in field trips, because they require nursing care.b) Contact the student’s parents to ask them to accompany the child on the field trip.c) Notify a Nursing Supervisor, the Diabetes Resource Nurse, the principal, and the 504 coordinators so that the nursing services the particular child requires can be provided on the field trip.
- When checking a patient’s fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The patient is awake but states he feels a bit “cloudy-headed.” After double-checking the patient’s glucose level and getting the same reading, which action by the nurse is most appropriate? a) Administer two packets of table sugar.b )Administer oral glucose in the form of a semisolid gel.c) Administer 50% dextrose IV push.d )Administer the morning dose of lispro insulinThe nurse is reviewing factors that influence pharmacokinetics in the neonatal patient. Which factor puts the neonatal patient at risk with regard to drug therapy? a )Immature renal system b )Hyperperistalsis in the GI tract c) Irregular temperature regulation d )Smaller circulatory capacityA client is receiving parenteral nutrition. A nurse assessing the client for complications of the therapy will be looking for which of the following indicates hyperglycemia? Question 34 options: a) Coarse dry hair, weakness and fatigue b) Thirst, blurred vision, and diuresis c) Fatigue, increased sweating, and heat intolerance d) High-grade fever, chills, and decreased urine output A client is receiving parenteral nutrition. A nurse assessing the client for complications of the therapy will be looking for which of the following that indicates hyperglycemia? Question 34 options: a) Coarse dry hair, weakness and fatigue b) Thirst, blurred vision, and diuresis c) Fatigue, increased sweating, and heat intolerance d) High-grade fever, chills, and decreased urine output