When learning to use an insulin pen, a client with diabetes dials 28 units of regular insulin instead of 24 units, the prescribed dose. Which action should the nurse take?

Discard the incorrectly dialed dose and recalibrate the insulin pen.

Save the dialed dose and prepare the correct dose using a syringe

Assist the client to administer 24 units of the dialed dose, and waste the remainder.

Advise the client to dial down to the correct dose, which can then be administered.

Answer and Explanation

The Correct Answer is A

A.   Administering an incorrect dose of insulin can lead to hypoglycemia, a serious complication. Discarding the incorrectly dialed dose ensures patient safety. Directly addresses the error and prevents potential harm.
B.   This option is inefficient and increases the risk of error. It's unnecessary to use both a pen and a syringe for a single dose. Does not address the immediate issue of the incorrect dose.
C.   Administering more insulin than prescribed is dangerous and can lead to hypoglycemia. Wasting the remainder doesn't address the core issue of the incorrect dose. Increases the risk of hypoglycemia.
D.   Insulin pens are designed to be precise. Dialing down to the correct dose after an error can compromise the accuracy of the dose. Does not ensure accurate dosing.

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Correct Answer is B

Explanation

A. Client describes a schedule for antacid use with other prescribed medications: While antacids might be part of the management plan, they do not address the underlying issue of rapid gastric emptying.
B. This is the most relevant outcome for a client who has developed post-Billroth II dumping syndrome, characterized by nausea, diarrhea, and diaphoresis after meals. Small, frequent meals with fluid intake between meals can help regulate blood sugar levels and reduce the rapid emptying of stomach contents into the small intestine, which is a primary cause of dumping syndrome.
C. Smoking can affect overall health but is not directly related to dumping syndrome.
D. Stress management is important for overall well-being but does not directly address the physiological changes causing dumping syndrome.

A. Decrease consumption of red meat and most seafood. B. Replace dietary table salt with salt substitutes. C. Limit use of mobility equipment to avoid muscle atrophy. D. Wrap joints with elastic bandage when swollen.

Correct Answer is A

Explanation

A. This instruction is particularly relevant for a client with gouty arthritis. Gout is a type of arthritis caused by elevated levels of uric acid in the blood, which can form crystals in the joints and cause severe pain and inflammation. Red meat and certain seafood are high in purines, which can increase uric acid levels and exacerbate gout symptoms.
B. This instruction might not be suitable for someone with hypertension, as many salt substitutes contain potassium. For a person with high blood pressure, excessive potassium can be harmful, especially if they are on certain medications or have kidney issues.
C. This advice may not be appropriate given the client's current inability to bear weight due to severe ankle pain. Limiting mobility equipment could lead to further physical complications. The focus should be on managing pain and inflammation to improve mobility rather than restricting the use of equipment.
D. While wrapping joints with an elastic bandage can help reduce swelling, it should be done with caution. Over-wrapping can lead to decreased circulation or additional pain. In cases of severe pain and swelling, other treatments such as rest, elevation, and ice may be more appropriate.

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When learning to use an insulin pen, a client with diabetes dials 28 units of regular insulin instead of 24 units, the prescribed dose. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Two weeks following a Billroth II (gastrojejunostomy), a client develops nausea, diarrhea, and diaphoresis after every meal. When the nurse develops a teaching plan for this client, which expected outcome statement is the most relevant?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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