A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?

NPH insulin

Insulin glargine

Insulin detemir

Regular Insulin

Answer and Explanation

The Correct Answer is D

A. NPH insulin: NPH insulin, also known as Neutral Protamine Hagedorn, is an intermediate acting insulin. It has a slower onset of action and a longer duration compared to regular insulin. It is not the best choice for treating diabetic ketoacidosis (DKA) because it does not act quickly enough to lower dangerously high blood glucose levels in this acute situation.

B. Insulin glargine: Insulin glargine is a long-acting basal insulin. It has a slow, steady release and provides a consistent level of insulin over an extended period. Like NPH insulin, it is not suitable for rapidly lowering blood glucose levels in a DKA emergency.

C. Insulin detemir: Insulin detemir is another long-acting basal insulin similar to glargine. It has a slow onset and provides a sustained release of insulin. It is not the first-line choice for treating DKA due to its slower action.

D. Regular Insulin: Regular insulin, also known as short-acting or fast-acting insulin, has a rapid onset of action. When administered intravenously, it can quickly lower blood glucose levels. This makes it the preferred choice for treating diabetic ketoacidosis (DKA) where prompt action is essential to correct the severe hyperglycemia and associated metabolic imbalances.

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Free Nursing Study Resources

Correct Answer is ["4"]

Explanation

Step 1: Convert the Prescribed Dose to Milligrams

The prescribed dose is 0.4 grams (g), but the medication strength is in milligrams (mg). We need to use the same unit for both.

There are 1000 mg in 1 g.
To convert 0.4 g to mg, we multiply by 1000.
0.4×1000=400
The prescribed dose is 400 mg.

Step 2: Calculate the Volume (in mL) Needed for the Dose

We know that 5 mL of the syrup contains 100 mg of medication. We need to find out how many mL are needed for 400 mg.

To find out how many groups of 100 mg are in 400 mg, we divide:
400÷100=4
This means we need 4 times the volume of syrup that contains 100 mg.
The volume for 100 mg is 5 mL. So, we multiply 4 by 5 mL.
4×5mL=20mL
The total volume needed per dose is 20 mL.

Step 3: Convert the Volume to Teaspoons

The measuring spoon is in teaspoons (tsp). We need to convert 20 mL to teaspoons.

There are 5 mL in 1 teaspoon.
To find out how many teaspoons are in 20 mL, we divide 20 by 5.
20÷5=4
The dose is 4 teaspoons.

The nurse will instruct the client to take 4 teaspoons.

Sources

A. Semi-Fowler's with neck extended B. semi-fowler's with neck in a neutral position C. High Fowler's with neck extended D. High Fowler's withzed in a neutral position

Correct Answer is B

Explanation

A. Semi-Fowler's with neck extended: Keeping the neck extended can put strain on the surgical incision site, increasing the risk of complications. It's important to avoid excessive neck movement.

B. Semi-Fowler's with neck in a neutral position: This position is optimal for clients post-thyroidectomy. It helps reduce swelling and pressure on the surgical site while maintaining the neck in a neutral and supported position.

C. High Fowler's with neck extended: A high Fowler's position with the neck extended may increase the risk of strain on the surgical incision and should be avoided.

D. High Fowler's with the neck in a neutral position: While a high Fowler's position can be comfortable for the client, it's important to ensure that the neck is in a neutral position to minimize strain on the surgical incision.

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Naxlex Comprehensive Predictor Exams

The primary health-care provider prescribes a cough syrup 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?

Correct Answer is ["4"]

Explanation

Step 1: Convert the Prescribed Dose to Milligrams

Step 2: Calculate the Volume (in mL) Needed for the Dose

Step 3: Convert the Volume to Teaspoons

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Correct Answer is B

Explanation

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