The client has diabetes Type I, a body mass index (BMI) of 17 and poor skin turgor. How should the nurse plan to administer the prescribed.
Humulin R 7 units subcutaneously?

Select an insulin syringe, 31 gauge 6 mm needle and inject insulin at a 45-degree angle.

Select a 0.5 mL syringe, 30 gauge, 8 mm needle and inject at a 90-degree angle.

Select a 0.5 mL syringe, 29 gauge 8 mm needle, pinch the skin, and inject at 45 degrees.

Select a 1.0 mL syringe, 28 gauge 12.7 mm needle, and inject at 90 degrees.

Answer and Explanation

The Correct Answer is B

Select a 0.5 mL syringe, 30 gauge, 8 mm needle and inject at a 90-degree angle. This is because Humulin R is a clear and colorless solution that can be given by subcutaneous injection.

A 0.5 mL syringe can hold up to 50 units of insulin, which is enough for the prescribed dose of 7 units. A 30 gauge, 8 mm needle is suitable for thin patients with poor skin turgor. Injecting at a 90-degree angle ensures that the insulin reaches the subcutaneous tissue and not the muscle.

Choice A is wrong because a 31 gauge, 6 mm needle is too short and may not deliver the insulin into the subcutaneous tissue.

Choice C is wrong because pinching the skin is not necessary for thin patients with poor skin turgor.

Choice D is wrong because a 1.0 mL syringe is too large for the prescribed dose of 7 units and may cause dosing errors. A 28 gauge, 12.7 mm needle is too long and may inject the insulin into the muscle, which can affect its absorption and action.

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Correct Answer is ["B","D"]

Explanation

Clubbing in upper digits and tripod positioning are signs of chronic obstructive pulmonary disease (COPD), a respiratory disorder that has components of chronic bronchitis and emphysema. Clubbing is a thickening and widening of the fingertips and nails due to chronic low oxygen levels in the blood. Tripod positioning is when the person leans forward and supports their arms on a table or chair to facilitate breathing.

Choice A is wrong because a BMI greater than 30% indicates obesity, which is not a specific sign of COPD, although it can worsen the condition.

Choice C is wrong because AP chest diameter of 1:1 means that the chest is as wide as it is deep, which is also known as barrel chest. This is a sign of emphysema, one of the components of COPD, but not of COPD itself.

Choice E is wrong because high amounts of energy are not associated with COPD. On the contrary, people with COPD often experience fatigue, weakness, and reduced exercise tolerance due to impaired gas exchange and respiratory muscle function.

A. Discuss the client’s frequent questions with the family and health care provider. B. Respect the family’s wishes and deny the client has a terminal condition. C. Encourage the client to think positive thoughts and use distraction techniques. D. Honestly tell the client the condition is terminal so preparations can be made.

Correct Answer is A

Explanation

This is the most appropriate action because it respects the client’s right to know and the family’s right to privacy.

It also allows the nurse to collaborate with the family and the healthcare provider to provide the best care for the client.

Choice B is wrong because it violates the client’s autonomy and dignity.

It also prevents the client from making informed decisions about end-of-life care.

Choice C is wrong because it denies the reality of the situation and does not address the client’s concerns.

It also may increase the client’s anxiety and frustration.

Choice D is wrong because it disregards the family’s wishes and cultural values.

It also may cause harm to the client and the family by breaking their trust and creating conflict.

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The client has diabetes Type I, a body mass index (BMI) of 17 and poor skin turgor. How should the nurse plan to administer the prescribed. Humulin R 7 units subcutaneously?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client with an exacerbation of chronic obstructive pulmonary disease. What signs would the nurse expect to observe with this client? Select all that apply.

Correct Answer is ["B","D"]

Explanation

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Correct Answer is A

Explanation

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The client has diabetes Type I, a body mass index (BMI) of 17 and poor skin turgor. How should the nurse plan to administer the prescribed.
Humulin R 7 units subcutaneously?