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.)

Choice A rationale

Monitoring for the return of the client's gag reflex is important post-anesthesia, but it is not the priority intervention following an open cholecystectomy. The focus should be on respiratory function and preventing complications.

Choice B rationale

Deep breathing exercises are a priority nursing intervention following an open cholecystectomy to prevent pulmonary complications such as atelectasis and pneumonia. Ensuring proper lung expansion and oxygenation is crucial.

Choice C rationale

Ambulating the client is important for preventing complications such as deep vein thrombosis, but it is not the immediate priority. Early mobilization should be encouraged as soon as the patient is stable and can tolerate it.

Choice D rationale

Discussing dietary restrictions and menu choices is important for long-term recovery and prevention of further gallbladder issues, but it is not the immediate priority after surgery. Postoperative respiratory management takes precedence.

Choice A rationale

Increasing fluid intake does not directly influence the prevention of biliary colic related to cholecystitis. While staying hydrated is important, it is not the primary preventive measure for colic.

Choice B rationale

Stopping the use of narcotics can help reduce pain and other symptoms, but it is not essential for the prevention of biliary colic. Pain management should be tailored to the individual's needs.

Choice C rationale

Remaining in the supine position is not a recommended practice to prevent the development of biliary colic. Mobility and certain positioning (such as sitting or semi-Fowler’s) may be more beneficial.

Choice D rationale

Decreasing the intake of fat in the diet is essential in the prevention of biliary colic related to cholecystitis. Fatty foods can trigger gallbladder contractions, which may cause pain and exacerbate symptoms.