A nurse is caring for a patient with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, by which of the following times should the nurse ensure the patient receives breakfast?

0720.

0815.

0745.

0730.

Answer and Explanation

The Correct Answer is C

0745.. Regular insulin has an onset of action of 30 to 60 minutes, a peak effect of 2 to 4 hours, and a duration of action of 6 to 8 hours. Therefore, the patient should receive breakfast within 30 minutes of receiving the insulin injection to prevent hypoglycemia.

Choice A. 0720 is incorrect because it is too soon after the injection and the insulin may not have reached its onset of action yet.

Choice B. 0815 is incorrect because it is too late after the injection and the insulin may have reached its peak effect by then, increasing the risk of hypoglycemia.

Choice D. 0730. is incorrect because it is less than 30 minutes after the injection and the insulin may be approaching its peak effect.

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Correct Answer is ["A","B","C","E"]

Explanation

The elderly tend to heal more slowly which can delay wound healing and increase the risk of infection. The elderly person has a greater proportion of body surface area per amount of body mass which increases the amount of skin available for injury, and thus the severity of the burn. The elderly person has less physiological reserves which makes it more difficult for the body to respond to injury and stress. Elderly patients have comorbidities such as diabetes, cardiovascular disease, and respiratory disease that can impair the body's ability to heal and increase the risk of complications. Elderly patients do not typically have thicker skin as it thins with age.

A. "Civil liability can result if the abuse can't be proven." B. "Evidence of abuse must be collected prior to reporting." C. "Reporting is voluntary for healthcare workers." D. "If suspicion of abuse exists then reporting is mandatory."

Correct Answer is D

Explanation

If suspicion of abuse exists then reporting is mandatory.

Choice A is incorrect because civil liability does not depend on whether the abuse can be proven or not, but on whether the report was made in good faith or not.

Choice B is incorrect because evidence of abuse does not need to be collected prior to reporting, but only reasonable suspicion of abuse.

Choice C is incorrect because reporting is not voluntary for healthcare workers, but mandatory by law.

Choice D is correct because if suspicion of abuse exists then reporting is mandatory for any person, agency, organization, or entity with direct knowledge of child abuse or neglect.

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A nurse is caring for a patient with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, by which of the following times should the nurse ensure the patient receives breakfast?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mortality rate for burns is highest in the elderly population. What factors put the very elderly at a high risk? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is D

Explanation

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