A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
The client will administer insulin glargine before each meal.
The client will use the deltoid muscle as an injection site.
The client will take an additional dose of insulin glargine prior to exercise.
The client will wear his reading glasses when drawing up a dose of insulin glargine.
The Correct Answer is D
Use of glasses in visual problems in the elderly avoid errors such as overdose. The use of insulin requires accurate visualization because overdosing the medication may lower the blood sugar levels too low leading to severe neuroglycopenic features or even death.
A- Long acting insulins like glargine are used as a basal insulin given once a day
B- The subcutaneous tissue is preferred
C- Insulin glargine is not added before exercise
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Correct Answer is B
Explanation
Septic shock is a state of reduced intravascular volume due to extravasation of plasma. It is caused by systemic infections that lead to inflammation and increased leakage in blood vessels. It presents with hypotension, and persistent hypotension indicates that the infusion rate is not addressing the shock status.
A, C, D- These are adverse effects that can be observed with dopamine and could be worsened by increasing the infusion rate.
Correct Answer is A
Explanation
Diuretics decrease potassium reabsorption in the renal tubules leading to urinary loss. hypokalemia can lead to an apparent overdose of digoxin even if the dose is within the therapeutic range. taking a high ceiling diuretic leads to hypokalemia which worsens digoxin toxicity. It is essential to monitor potassium levels in clients taking digoxin to prevent complications.
B, C, D- These histories do not predispose to digoxin toxicity
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