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A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?

0830.

0930.

1030.

1130.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Insulin aspart is a rapid-acting insulin with an onset of 15-30 minutes. Hypoglycemia could occur as early as 0830.

Choice B rationale

By 0930, the peak action of insulin aspart is nearing, but hypoglycemia could occur sooner.

Choice C rationale

1030 is too late for the typical onset of hypoglycemia with rapid-acting insulin.

Choice D rationale

1130 is far beyond the expected timing for hypoglycemia with a rapid-acting insulin like aspart.

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Fecal-smelling breath is a symptom of small intestine obstruction due to bacterial fermentation of trapped food, which produces a foul odor that can be detected on the breath.

Choice B rationale

Severe abdominal distention occurs in small intestine obstructions because of the accumulation of gas and fluids proximal to the obstruction site, leading to a noticeable increase in abdominal girth.

Choice C rationale

Weakness, weight loss, and anorexia are more characteristic of chronic gastrointestinal conditions rather than acute small intestine obstruction. These symptoms develop over a longer period and are not acute manifestations.

Choice D rationale

High-pitched tinkling bowel sounds are a typical finding in small intestine obstruction. They occur due to increased peristaltic activity proximal to the obstruction site as the intestines attempt to move the obstructed contents.

Choice E rationale

Intense thirst is not a primary manifestation of small intestine obstruction. While dehydration can occur, it is not specific to small intestine obstruction and can be a result of many other conditions.

A. Other weight loss methods, such as diet and exercise, should be attempted before beginning treatment with weight loss drugs. B. Drugs used for weight loss are very safe with few side effects. C. Weight loss drugs should be used for at least a year, even if weight loss does not immediately occur. D. In general, drugs currently approved for weight loss either affect nutrient absorption or appetite. E. You can expect to lose at least forty pounds using weight loss drugs.

Correct Answer is ["A","D"]

Explanation

Choice A rationale

It's widely recommended to attempt lifestyle modifications, such as diet and exercise, before initiating pharmacotherapy for obesity. This approach is due to the potential side effects and costs associated with weight loss medications, making non-pharmacological interventions a safer first option.

Choice B rationale

This statement is incorrect. Drugs used for weight loss can have significant side effects, including gastrointestinal disturbances, increased heart rate, and potential risks of abuse or dependence. It is important for healthcare providers to weigh the benefits and risks before prescribing these medications.

Choice C rationale

Weight loss drugs are typically used in conjunction with lifestyle changes and are not recommended to be used for prolonged periods if ineffective. Continuous monitoring and evaluation of the drug's effectiveness and side effects are crucial in managing obesity with pharmacotherapy.

Choice D rationale

Correct. Current drugs approved for weight loss generally work by either reducing nutrient absorption (e.g., orlistat) or suppressing appetite (e.g., phentermine). These mechanisms help individuals decrease caloric intake and promote weight loss.

Choice E rationale

This statement is inaccurate. The amount of weight loss with medication varies among individuals, and losing at least forty pounds is not a guaranteed outcome. The effectiveness of weight loss drugs depends on several factors, including adherence to the medication and accompanying lifestyle changes.

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A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?

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Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is ["A","D"]

Explanation

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