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Exhibits

It is 1800, and the client has a scheduled dose of insulin glargine due. The client has a regular diet tray ordered with 60 carbohydrates. The tray has not yet arrived in the room.

For each nursing action below, click to specify if the action is indicated, contraindicated or nonessential. Each row must have one option selected.

A.

Give insulin lispro 4 units

B.

Verify that the client can count carbohydrates

C.

Mix the insulin lispro and insulin glargine in one syringe

D.

Give insulin glargine 12 units

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"A"}}

  • Give insulin lispro 4 units: Contraindicated - Insulin lispro is a rapid-acting insulin that should be given in relation to meal intake. Since the client's meal tray has not arrived, administering insulin lispro could lead to hypoglycemia.
  • Verify that the client can count carbohydrates: Nonessential - While it’s useful to know if a client can count carbohydrates, it’s not critical for administering scheduled long-acting insulin like insulin glargine.
  • Mix the insulin lispro and insulin glargine in one syringe: Contraindicated - Insulin glargine is a long-acting insulin and should not be mixed with other insulins in the same syringe.
  • Give insulin glargine 12 units: Indicated - Insulin glargine is a long-acting insulin that is typically given at a set time each day and is not dependent on immediate food intake, so it is appropriate to administer the scheduled dose.


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Related Questions

Correct Answer is C

Explanation

A. NSAIDs should not be resumed without medical advice, especially if there has been significant gastrointestinal bleeding.
B. A diet of milk, cream, and bland foods is not specifically recommended for this condition and does not address the underlying issue of NSAID-induced gastrointestinal damage.
C. Black stools can indicate gastrointestinal bleeding, which is a serious side effect of NSAIDs and requires immediate medical attention.
D. While esomeprazole can cause side effects like diarrhea or headache, they are not as urgent as reporting possible gastrointestinal bleeding.

Correct Answer is C

Explanation

A. Hard candy is a recommended way to manage dry mouth, a common side effect of many medications, including herbal supplements like St. John's wort.
B. Insomnia is a potential side effect of St. John's wort, so this information is correct.
C. St. John's wort can interact with oral contraceptives, reducing their effectiveness. Therefore, it is essential to use an additional form of contraception.
D. St. John's wort can increase sensitivity to sunlight, making sun protection important for clients.

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