A client will be using an insulin pump to deliver a consistent amount of insulin to meet the client's needs. Where should the nurse insert the pump for the maximum amount of absorption?

Hip

Abdomen

Deltoid

Thigh

Answer and Explanation

The Correct Answer is B

When using an insulin pump, the best site for inserting the infusion set is in the abdomen. This is because the abdomen has a higher amount of subcutaneous fat and a larger surface area, which allows for better absorption of the insulin. In addition, the abdomen is more accessible and easier to reach for self-insertion, and it also allows for better flexibility and comfort for the patient during daily activities.

It is important to rotate the infusion set insertion sites within the abdomen to avoid tissue damage and to ensure consistent absorption. Other sites, such as the hip, thigh, or deltoid, may be used but are generally not recommended due to the potential for slower absorption, tissue damage, and discomfort for the patient

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Correct Answer is D

Explanation

A: Ibuprofen does not typically interact with calcium citrate to decrease its effects. Instead, ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and, with long-term use, may affect kidney function.

B: Hydrochlorothiazide is a diuretic that can lead to increased calcium levels in the blood. It does not decrease the effects of calcium citrate; rather, it could potentially cause hypercalcemia if used concurrently with calcium supplements.

C: Diltiazem is a calcium channel blocker used to treat hypertension and angina. While it affects calcium channels in the heart and blood vessels, it does not typically interact with calcium citrate supplements to decrease their effectiveness.

D: Prednisone is a corticosteroid that can decrease calcium absorption and increase calcium excretion, leading to lower bone density. Long-term use of prednisone can lead to osteoporosis, making it counterproductive when taken with calcium citrate for bone health.

A. Static levels of serum cortisol B. Blood glucose <70 mg/dL (3.80 mmol/L) C. Decreased serum sodium levels D. Elevated cortisol levels

Correct Answer is D

Explanation

would rule out a diagnosis of adrenal insufficiency after a short plasma corticotropin (ACTH) stimulation test. In this test, a synthetic form of ACTH is given to stimulate the adrenal glands to produce cortisol. If the adrenal glands are functioning normally, they should produce an increased amount of cortisol in response to the ACTH. Therefore, if the client has elevated cortisol levels after the test, it would indicate that their adrenal glands are functioning properly and ruling out adrenal insufficiency.

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A client will be using an insulin pump to deliver a consistent amount of insulin to meet the client's needs. Where should the nurse insert the pump for the maximum amount of absorption?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult resident of a long-term care facility has been prescribed calcium citrate to address decreasing bone density. The nurse should review the resident’s medication administration record knowing that what medication may decrease the effects of calcium?

Correct Answer is D

Explanation

An adult client underwent a short plasma corticotropin (ACTH) stimulation test this morning. What subsequent assessment finding would rule out a diagnosis of adrenal insufficiency?

Correct Answer is D

Explanation

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A client will be using an insulin pump to deliver a consistent amount of insulin to meet the client's needs. Where should the nurse insert the pump for the maximum amount of absorption?

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