Two nurses are confirming the dose of an insulin infusion for a client in DKA.

The current rate of the client's infusion is 13 mL/hr. At this institution, continuous insulin infusions are mixed with 75 units of insulin in 150 mL of normal saline.

What dose (units/hour) is the client currently receiving? (Round the answer to the nearest tenth.

Use a leading zero if it applies.

Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["6.5"]

Step 1 is: (75 units ÷ 150 mL) × 13 mL/hr = 6.5 units/hr.

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Correct Answer is C

Explanation

Choice A rationale

Omeprazole is not an antibiotic; it is a proton pump inhibitor (PPI). It reduces stomach acid production, which helps in managing peptic ulcer disease but does not directly treat H. pylori infection. Antibiotics are needed to treat H. pylori.

Choice B rationale

Omeprazole should not be crushed as it is a delayed-release medication designed to protect it from stomach acid. Crushing it would destroy this protective mechanism, reducing its effectiveness.

Choice C rationale

Omeprazole is most effective when taken 30 minutes before meals. This timing allows the medication to inhibit the proton pumps that produce stomach acid, providing better control of acid secretion.

Choice D rationale

Treatment with proton pump inhibitors for peptic ulcer disease may last from a few weeks to several months, depending on the severity of the condition and the individual response to treatment. It is not typically a fixed 3 to 6 months duration.

A. Fecal-smelling breath. B. Severe abdominal distention. C. Weakness, weight loss, and anorexia. D. High-pitched tinkling bowel sounds. E. Intense thirst.

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

Explanation

Choice A rationale

Fecal-smelling breath is a symptom of small intestine obstruction due to bacterial fermentation of trapped food, which produces a foul odor that can be detected on the breath.

Choice B rationale

Severe abdominal distention occurs in small intestine obstructions because of the accumulation of gas and fluids proximal to the obstruction site, leading to a noticeable increase in abdominal girth.

Choice C rationale

Weakness, weight loss, and anorexia are more characteristic of chronic gastrointestinal conditions rather than acute small intestine obstruction. These symptoms develop over a longer period and are not acute manifestations.

Choice D rationale

High-pitched tinkling bowel sounds are a typical finding in small intestine obstruction. They occur due to increased peristaltic activity proximal to the obstruction site as the intestines attempt to move the obstructed contents.

Choice E rationale

Intense thirst is not a primary manifestation of small intestine obstruction. While dehydration can occur, it is not specific to small intestine obstruction and can be a result of many other conditions.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a prescribed dose of omeprazole to a client with peptic ulcer disease. What does the nurse need to remember when administering this medication?

Correct Answer is C

Explanation

A nurse is assessing a client who has an obstruction in the small intestine. Clinical manifestations that the nurse would expect include: (SELECT ALL THAT APPLY)

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

Explanation

The nurse evaluates that an obese client understands the need for a healthy weight loss pattern by indicating an intention to lose:

The nurse has discussed activity as a way to lose weight with a group of overweight clients. Which is the BEST cardiovascular exercise plan for weight loss?

During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or ask for the nurse to make about the client's behavior?

The nursing student is writing a problem list for a client just admitted with a total small bowel obstruction. Which problem should the instructor ask?

The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?

The nurse is performing an assessment on a client who has been diagnosed with severe peritonitis. Which finding would the nurse expect?

A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?

The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute? .