The nurse in the emergency department is caring for a client with diabetic ketoacidosis and has the following prescriptions. Which of these prescriptions should the nurse clarify?

Regular insulin IV at 0.1 unit/kg/hr

5% dextrose in water 100 mL/hour

Arterial blood gases every 2 hours

Mix insulin in 0.9% normal saline solution

Answer and Explanation

The Correct Answer is B

A. Regular insulin IV at 0.1 unit/kg/hr is a standard prescription for managing diabetic ketoacidosis (DKA). Regular insulin is administered intravenously to reduce blood glucose and correct the acidosis in DKA.
B. The nurse should clarify this prescription. In the initial management of DKA, the focus is on correcting fluid deficits, and a typical intravenous fluid for this purpose is 0.9% normal saline (not dextrose). Once blood glucose levels start to decrease and are near 200 mg/dL, dextrose may be introduced to prevent hypoglycemia, but it should not be started too early in the treatment of DKA.
C. Monitoring arterial blood gases (ABGs) is crucial in DKA to assess the severity of acidosis and monitor the effectiveness of treatment, typically done every 1 to 2 hours.
D. Regular insulin is typically mixed with 0.9% normal saline for intravenous administration in DKA. This solution helps deliver the insulin slowly and safely while rehydrating the client.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "It describes a list of foods that are alike in terms of the amount of carbohydrate, fat, protein, and calories in each food." This definition does not describe the glycemic index. The glycemic index focuses on how quickly a food raises blood glucose, not on the carbohydrate, fat, protein, and calorie content of foods.
B. "It is a value assigned to foods based on how slowly or how quickly those foods cause increases in your blood glucose level." The glycemic index (GI) measures how quickly a carbohydrate-containing food raises blood glucose levels after consumption. Foods with a high GI cause rapid spikes in blood glucose, while those with a low GI cause slower increases.
C. "It is a diet plan that tracks the amount of carbohydrates in food to ensure that a predetermined amount is consumed during a given meal." This describes carbohydrate counting or a carbohydrate-based meal plan, not the glycemic index.
D. "It is a scoring system that describes the amount of carbohydrates, in grams, that is present in each serving of a food." This describes the concept of carbohydrate counting, which focuses on the total grams of carbohydrates in food, not the rate at which those carbohydrates affect blood glucose.

A. Identifying the underlying cause. B. Keeping the environment quiet. C. Reorienting the client often. D. Monitoring nutritional intake.

Correct Answer is A

Explanation

A. The priority for treating delirium is to identify and address the underlying cause. Delirium is often a symptom of an acute condition such as infection, metabolic disturbances, medication side effects, or other physical issues. Treating the root cause of delirium can help resolve the condition more effectively.
B. While creating a calm, quiet environment can help reduce confusion and agitation, it is not the most critical aspect of treatment. The main focus should be on addressing the cause of the delirium.
C. Reorienting the client is important for safety and reducing confusion, but it will not be sufficient to resolve the delirium if the underlying cause is not addressed. Reorientation is a supportive measure, not the priority intervention.
D. Although monitoring nutrition is important for overall health, it is not the first priority in treating delirium unless malnutrition is identified as a contributing factor to the delirium.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse in the emergency department is caring for a client with diabetic ketoacidosis and has the following prescriptions. Which of these prescriptions should the nurse clarify?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with diabetes mellitus, type 1 who asked for the meaning of glycemic index. Which of the following responses by the nurse would be correct?

Correct Answer is B

Explanation

The nurse is caring for a client diagnosed with delirium. Which of the following should be the priority for treatment?

Correct Answer is A

Explanation

The nurse is administering prescribed medication to a client experiencing status epilepticus. Which of the following medications should the nurse question?

The nurse is providing discharge instructions for a female client after receiving radioactive iodine treatment. Which of the following information should the nurse include in the teaching?

The nurse is teaching a client about diabetic ketoacidosis (DKA). Which of the following types of diabetes does the client most likely have?

The nurse is evaluating a client with diabetes mellitus, type 1 who was taught about self-administration of prescribed insulin. Which of the following actions by the client would indicate that more teaching is needed?

The nurse is teaching a client with epilepsy who has a new prescription for phenytoin (Dilantin). Which of the following instructions should the nurse include in the teaching?

The nurse is administering prescribed gabapentin (Neurontin) 1,800 mg, PO, daily, divided into 3 doses. The medication is supplied in 300 mg capsules. How many capsules should the nurse administer for 1 dose? Do not round your answer. Enter numeric value only.

The nurse is caring for a client who has diabetes mellitus and reports having a headache, nausea, is diaphoretic and then loses consciousness. Which of the following actions should the nurse take?

How many units is the arrow pointing to on the syringe below? Enter numeric value only