A nurse is collecting data from a client who has diabetes mellitus.
The client is confused, flushed, and has an acetone odor on their breath.
The nurse should anticipate a prescription for which of the following types of insulin to treat the client.
Regular insulin.
NPH insulin.
Lispro insulin.
Glargine insulin.
The Correct Answer is A
The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Taking too much levothyroxine can cause side effects such as an elevated pulse1.
Choice A is not the answer because a decreased temperature is not a side effect of taking too much levothyroxine.
Choice B is not the answer because hypotension is not a side effect of taking too much levothyroxine.
Choice D is not the answer because constipation is not a side effect of taking too much levothyroxine.
Correct Answer is ["50"]
Explanation
To calculate the flow rate in gtt/min, you need to divide the total volume of the IV fluid (400 mL) by the total infusion time in minutes (8 hours x 60 minutes/hour = 480 minutes) and then multiply by the drop factor of the manual IV tubing (60 gtt/mL).
This gives you a flow rate of (400 mL / 480 minutes) x 60 gtt/mL = 50 gtt/min.
The other choices are not answers because they are not provided in the question.
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