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 D
Explanation
Melena means that the stool has a dark discoloration. This is a sign of gastrointestinal bleeding and should be reported immediately as it can be a serious complication of warfarin therapy.
A,B,C- Are not related to use of warfarin
Correct Answer is C
Explanation
This indicates a reduction in the abdominal swelling caused by fluid accumulation, which is a common complication of cirrhosis. Spironolactone is a diuretic that helps remove excess fluid from the body. Spironolactone in liver cirrhosis is used to reduce fluid retention and hence decrease ascites
The other effects are not directly related to spironolactone use
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