A nurse is assisting with the care of a client in the emergency department.

Exhibits

The nurse is reviewing the client’s health information. For each potential provider’s prescription, tick to specify if the assessment findings is consistent with myocardial infraction or gastroesophageal reﬂux disease (Gerd), each finding may support more than one disease process.

Nausea

Indigestion

Hoarseness

Eructation

dyspnea

Answer and Explanation

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

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

No explanation

A. "Insulin injected into the thigh is the most rapidly absorbed." B. "I should shake the botle of insulin before withdrawing the medication." C. "I will use Lantus insulin immediately before each meal." D. "Unopened vials of insulin should be kept in my refrigerator."

Correct Answer is D

Explanation

Choice A reason: Insulin injected into the thigh is not the most rapidly absorbed. The abdomen is the preferred site for insulin injection, as it has the fastest and most consistent absorption rate. The thigh, arm, and butock have slower and more variable absorption rates12.

Choice B reason: The botle of insulin should not be shaken before withdrawing the medication. Shaking can damage the insulin molecules and aﬀect their potency and eﬀectiveness. Instead, the botle should be gently rolled between the palms to mix the insulin evenly13.

Choice C reason: Lantus insulin should not be used immediately before each meal. Lantus is a long-acting insulin that provides a steady basal level of insulin for 24 hours. It should be taken once a day at the same time every day, regardless of meals. Humalog is a rapid-acting insulin that can be used immediately before each meal to cover the postprandial glucose spikes14.

Choice D reason: Unopened vials of insulin should be kept in the refrigerator until needed. This can help preserve their quality and potency until their expiration date. Opened vials of insulin can be kept at room temperature for up to 28 days, depending on the type and brand

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Naxlex Comprehensive Predictor Exams

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

A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply).

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been eﬀective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?

A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?

A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid stimulating hormone (TSH) level. Which of the following statements should the nurse give?

A nurse is collecting data from a client who has Cushing’s syndrome. Which of the following findings should the nurse expect?