The nurse is caring for a client with type 1 diabetes mellitus who has been taught the dosage of insulin.

Injections in the thigh

Injections in the upper arm

Injections in the buttocks

Injections in the abdomen

Answer and Explanation

The Correct Answer is D

Choice A reason:

Injections in the thigh are absorbed more slowly compared to the abdomen. The thigh is a common site for insulin injections, but it does not provide the fastest absorption rate. The absorption rate can be influenced by physical activity, as exercise can increase blood flow to the muscles, potentially speeding up insulin absorption. However, under normal conditions, the thigh is not the fastest site for insulin absorption.

Choice B reason:

Injections in the upper arm have a moderate absorption rate. The upper arm is another common site for insulin injections, but it is not the fastest. The absorption rate from the upper arm is generally faster than the thigh but slower than the abdomen. This site can be convenient for injections, especially for those who find it difficult to reach other areas.

Choice C reason:

Injections in the buttocks have the slowest absorption rate among the common injection sites. The buttocks are less commonly used for insulin injections due to the slower absorption rate and the difficulty some individuals may have in administering injections in this area. The high fat content in the buttocks slows down the absorption of insulin.

Choice D reason:

Injections in the abdomen provide the fastest absorption rate for insulin. The abdomen is the preferred site for many people with diabetes because it has a large surface area and is easy to access. The insulin injected into the abdominal area is absorbed quickly into the bloodstream, making it the most effective site for rapid-acting insulin. This is particularly important for managing blood sugar levels around meal times.

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Correct Answer is A

Explanation

Choice A reason:

“I need to walk slowly as I lose my balance often” is a significant safety concern for a client with peripheral artery disease (PAD). Balance issues can increase the risk of falls, which can lead to serious injuries, especially in clients with compromised circulation. PAD can cause muscle weakness and pain, which may contribute to balance problems. Reporting this symptom to the provider is crucial for further evaluation and intervention to prevent falls and improve the client’s mobility and safety.

Choice B reason:

“I have a small-healed area on my spine that is painful” is not directly related to peripheral artery disease. While pain in different parts of the body can be concerning, this statement does not indicate an immediate safety risk associated with PAD. However, it is still important for the nurse to document and monitor this symptom, as it could be related to other underlying conditions.

Choice C reason:

“I don’t go out much because of the pain in my legs” is a common symptom of PAD known as claudication, which is pain caused by too little blood flow during exercise. While this statement indicates a significant impact on the client’s quality of life, it does not pose an immediate safety risk that requires urgent reporting. The nurse should provide education on managing claudication and encourage the client to engage in supervised exercise programs to improve circulation.

Choice D reason:

“It makes me sad that I can’t keep up with my grandchildren” reflects the emotional and psychological impact of PAD on the client’s life. While this is an important aspect of the client’s overall well-being, it does not represent an immediate safety concern. The nurse should address the client’s emotional health and consider referring them to a mental health professional for support.

A. Increased thirst, increased urine output, and weight loss B. Fatigue, constipation, weight gain C. Anxiety, unintended weight loss, palpitations D. Shakiness, sweating, nausea

Correct Answer is B

Explanation

Choice A reason: Increased Thirst, Increased Urine Output, and Weight Loss

Increased thirst, increased urine output, and weight loss are symptoms commonly associated with diabetes mellitus, particularly uncontrolled diabetes. These symptoms occur due to the body’s attempt to eliminate excess glucose through urine, leading to dehydration and subsequent weight loss. However, these symptoms are not typically associated with elevated TSH levels, which indicate hypothyroidism.

Choice B reason: Fatigue, Constipation, Weight Gain

Fatigue, constipation, and weight gain are classic symptoms of hypothyroidism2. When the thyroid gland is underactive, it produces insufficient thyroid hormones, leading to a slowdown in the body’s metabolism. This results in fatigue, weight gain, and constipation, among other symptoms. Elevated TSH levels are a compensatory response by the pituitary gland to stimulate the thyroid to produce more hormones, confirming hypothyroidism.

Choice C reason: Anxiety, Unintended Weight Loss, Palpitations

Anxiety, unintended weight loss, and palpitations are symptoms typically associated with hyperthyroidism, not hypothyroidism. Hyperthyroidism occurs when the thyroid gland produces excessive thyroid hormones, leading to an accelerated metabolism. This results in symptoms such as weight loss, increased heart rate (palpitations), and anxiety. Elevated TSH levels would not be expected in hyperthyroidism; instead, TSH levels would be low due to negative feedback from high thyroid hormone levels.

Choice D reason: Shakiness, Sweating, Nausea

Shakiness, sweating, and nausea can be symptoms of various conditions, including hypoglycemia (low blood sugar), anxiety, or panic attacks. These symptoms are not specific to thyroid dysfunction and are not typically associated with elevated TSH levels. Hypothyroidism, indicated by high TSH levels, usually presents with symptoms related to a slowed metabolism, such as fatigue and weight gain, rather than shakiness and sweating.

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The nurse is caring for a client with type 1 diabetes mellitus who has been taught the dosage of insulin.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has peripheral artery disease for potential safety concerns. Which of the following client statements should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is reviewing laboratory results and notes that a client has an elevated thyroid-stimulating hormone (TSH) level. Which of the following assessment findings would the nurse expect?

Correct Answer is B

Explanation

A nurse is assessing a client who has peripheral venous disease. Which of the following findings should the nurse recognize as a manifestation of venous disease?

A nurse is assessing a client who has peripheral artery disease. Which of the following findings should the nurse recognize as requiring immediate intervention?

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A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All that Apply.)

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A nurse is teaching a group of clients about risk factors for developing atrial flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?

A nurse is teaching a client who has peripheral arterial disease. Which of the following statements should the nurse include?