A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

0900

1400

2100

1100

Answer and Explanation

The Correct Answer is D

A.   This time falls shortly after the onset of NPH insulin. While hypoglycemia could start to occur around this time, it is less likely to be at its peak.
B.   This time is past the peak range of NPH insulin. The likelihood of hypoglycemia is lower as the insulin effect would be tapering off.
C.   This time is well past the usual duration of NPH insulin. By this point, the risk of hypoglycemia would be significantly decreased.
D.   This time falls within the peak action of NPH insulin (approximately 4-12 hours post-administration). This is when hypoglycemia is most likely to occur due to the greatest effect of the insulin.

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Correct Answer is A

Explanation

A. This is correct because clopidogrel is a blood thinner, and a common side effect is bleeding, which can manifest as black or bloody stools.
B. While this is general advice for people taking certain medications, it's not specifically related to clopidogrel.
C. There are no specific dietary restrictions for clopidogrel, and it can be taken with or without food.
D. Clopidogrel is often prescribed with low-dose aspirin to further reduce the risk of blood clots. However, it's important to consult with a healthcare provider before taking any new medications, including aspirin, while on clopidogrel.

A. ease with which a prosthesis can be fitted. B. adequacy of the blood supply to the stump for healing. C. need to remove as much of the leg as possible. D. client's ability to walk with a prosthesis.

Correct Answer is B

Explanation

A. While the ease of fitting a prosthesis is a consideration, it is not the main factor. The level of amputation is primarily determined by medical considerations, particularly related to health and healing.
B. This is the primary determinant for the level of amputation. Surgeons aim to preserve as much limb length as possible while ensuring that the remaining tissue has adequate blood supply for healing.

Insufficient blood supply can lead to complications, including poor healing and infection, making this a critical factor in deciding the amputation level.
C. This option suggests a more aggressive approach than necessary. The goal is to remove only as much of the limb as required to address the medical issue (e.g., disease, trauma) while preserving as much healthy tissue as possible for optimal healing and function.
D. While a client’s functional ability with a prosthesis is an important consideration in rehabilitation planning, it is not the main factor in deciding the surgical level of amputation. The decision about how much limb to remove is made based on medical criteria, particularly healing potential.

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A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

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Naxlex Comprehensive Predictor Exams

The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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