0730

Admit to the surgical floor

Dextrose 59% and 0.9% sodium chloride to infuse at 125 ml/hr

Advance diet as tolerated

Insulin glargine 12 units subcutaneous every 12 hours

Ceftriaxone 2 g IV every 24 hours for 3 days, first dose given in surgery

Insulin lispro 1 unit subcutaneously per 15 carbohydrates

Insulin lispro sliding scale:

180-240 mg/dL (10-13.3 mmol/L)- 1 unit

241-300 mg/dl. (13.4-16.7 mmol/L)-2 units

300-360 mg/dL (16.7-30 mmol/L)-3 units

over 360 mg/dL (30 mmol/L)-call the physician

Glucagon 1 syringe subcutaneously for blood glucose less than 60 mg/dL (3.3 mmol/L) and unresponsiveness

It is 1800, and the client has a schedule dose of insulin glargine due. The client has a regular diet tray ordered with 60 carbohydrates. The tray has not yet arrived in the room.

For each nursing action below, click to specify If the action is indicated, contraindicated or non-essential.

Restart the IV fluids until the tray arrives

Give insulin lispro 4 units

Verify that the client can count carbohydrates

Give insulin glargine 12 units

Mix the insulin lispro and insulin glargine in one syringe

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"C"}}

Actions:

Restart the IV fluids until the tray arrives

Non-essential: Restarting IV fluids is not essential while waiting for a regular diet tray. It's more important to ensure the client receives the correct insulin dose when the meal arrives.

Give insulin lispro 4 units

Contraindicated: Giving insulin lispro before the client has eaten is contraindicated, as it may lead to hypoglycemia without adequate carbohydrate intake.

Verify that the client can count carbohydrates

Indicated: Verifying the client's ability to count carbohydrates is essential to ensure they can accurately determine the insulin lispro dose when the meal arrives.

Give insulin glargine 12 units

Indicated: Giving the scheduled insulin glargine dose as ordered is indicated, provided the client has a regular diet tray ordered with 60 carbohydrates.

Mix the insulin lispro and insulin glargine in one syringe

Non-essential: Mixing insulin lispro and insulin glargine in one syringe is not typically necessary and may increase the risk of dosing errors. Administering them separately using the appropriate syringes is a safer practice.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Take with milk or antacids to prevent gastrointestinal (GI) irritation:

Tetracycline should not be taken with milk or antacids because these can bind to the medication and reduce its absorption. It is generally recommended to take tetracycline with a full glass of water on an empty stomach, unless otherwise instructed by the healthcare provider.

When providing instructions to a client prescribed tetracycline HCl, the nurse should include the following instruction:

B. Protect the skin from sunlight while taking the drug.

Explanation: Tetracycline antibiotics can make the skin more sensitive to sunlight (photosensitivity). Exposure to sunlight or ultraviolet (UV) rays can lead to severe sunburn reactions. Therefore, it is important for clients taking tetracycline to avoid prolonged exposure to direct sunlight and to use sunblock, protective clothing, and sunglasses when outdoors. This precaution helps prevent skin irritation and sunburn.

C. Return to the clinic weekly to obtain serum drug levels:

Routine monitoring of serum drug levels is not typically required for clients taking tetracycline. Monitoring may be necessary for other medications, but it is not a standard practice for tetracycline.

D. Take with orange juice to enhance GI absorption:

Like milk and antacids, taking tetracycline with orange juice can interfere with its absorption. It is generally recommended to take tetracycline with a full glass of water on an empty stomach for optimal absorption.

Correct Answer is ["0.1"]

Explanation

To administer 2500 units of dalteparin using a prefilled syringe containing 5000 units/0.2 mL, you should administer:

2500 units/5000 units × 0.2 mL = 0.1 mL

So, the nurse should administer 0.1 mL of dalteparin.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Laboratory Test	Result	reference range
Serum Creatinine	1 mg/dl (88.4 μmol/L)	0.5-1.1 mg/dL (44-97 μmol/L)
BUN	9 mg/dl. (3.2 mmol/L)	10-20 mg/dl. (3.6-7.1 mmol/L)
Sodium	136 mEq/L (136 mmol/L)	136 to 145 mEq/L (136 to 145 mmol/L)
Potassium	6.1 mEq/L (6.1 mmol/L)	3.5 to 5 mEq/L (3.5 to 5 mmol/L)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The healthcare provider prescribes the antibiotic tetracycline HCI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?

Correct Answer is B

Explanation

A client receives a prescription for dalteparin 2500 units subcutaneously 2 hours before a scheduled procedure. The medication is available in a 5000 units/0.2 mL. prefilled syringe. How many ml. should the nurse administer? (Enter numeric value only.)

Correct Answer is ["0.1"]

Explanation

A client is receiving intravenous (1V) vancomycin and the nurse plans to draw blood for a peak a. trough to determine the serum level of the drug. Which collection times provide the best determination of these levels?

The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client?

When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)?

After receiving five doses of filgrastim, the nurse notes that the client's white blood cell count has increased from 2,500/mm³ (2.5x 10L) to 5,000/mm³ (5 x 10"/L) Which action should the nurse implement? White Blood Cell (WBC) [Reference Range: 5000 to 10,000/mm3 (5 to 10 x 109/L)]