Which action should the nurse take if Sarah reports difficulty swallowing after treatment?

Instruct her to take an antacid

Notify the healthcare provider immediately

Reassure her that this is expected

Encourage warm fluids

Answer and Explanation

The Correct Answer is B

A. Instruct her to take an antacid: Difficulty swallowing could be a sign of a more serious problem, such as esophageal irritation or a reaction to treatment. Taking an antacid may mask underlying issues, and it is not appropriate without further assessment.

B. Notify the healthcare provider immediately: Difficulty swallowing after treatment may indicate a serious side effect or complication, such as esophageal damage, allergic reaction, or a swallowing disorder. Immediate evaluation by the healthcare provider is necessary to determine the cause and prevent further complications.

C. Reassure her that this is expected: Difficulty swallowing after treatment should not be considered normal without investigation. It may indicate an issue that needs prompt attention to prevent further harm or discomfort.

D. Encourage warm fluids: Encouraging fluids could be helpful in some cases of mild throat irritation, but it is not the first appropriate action. The nurse should prioritize notifying the healthcare provider to evaluate the cause of difficulty swallowing.

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Correct Answer is B

Explanation

A. Regular: Regular insulin is a short-acting insulin, typically used for mealtime glucose control. It has a short duration of action (4-6 hours) and is not considered long-lasting insulin.

B. Insulin glargine (Lantus): Insulin glargine (Lantus) is a long-acting insulin that provides a steady release of insulin over a 24-hour period, without a peak, making it ideal for basal insulin coverage. It is designed to maintain blood glucose levels consistently throughout the day and night.

C. Insulin aspart (NovoLog): Insulin aspart is a rapid-acting insulin used primarily for mealtime glucose control, and it has a short duration of action, usually around 2-4 hours.

D. Insulin lispro (Humalog): Insulin lispro is a rapid-acting insulin that works quickly to control post-meal blood sugar but is not long-lasting. It typically lasts for about 3-5 hours.

A. diabetic retinopathy B. kidney failure C. undetected foot injury D. atherosclerosis

Correct Answer is C

Explanation

A. Diabetic retinopathy: Diabetic retinopathy is a complication of diabetesthat affects the eyes, specifically the retina and can lead to vision loss. It is not directly associated with diabetic neuropathy, which affects the nerves.

B. Kidney failure: Kidney failure can result from diabetic nephropathy, a complication of diabetes that affects the kidneys, but it is not the primary concern of diabetic neuropathy. Diabetic neuropathy primarily affects the nerves, especially in the extremities.

C. Undetected foot injury: Diabetic neuropathycan cause numbnessand reduced sensationin the feet, making it difficult for the patient to feel foot injuries. This can lead to undetected foot injuries, which can become infected and lead to serious complications like ulcers or even amputation.

D. Atherosclerosis: Atherosclerosis (plaque buildup in the arteries) can be a complication of diabetesand contribute to cardiovascular disease, but it is not a direct result of diabetic neuropathy. Neuropathy primarily affects the nerves, not the blood vessels.

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Which action should the nurse take if Sarah reports difficulty swallowing after treatment?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the patient's prescribed insulin regimen. The nurse notes that the physician has ordered a long-lasting insulin. Which medication will best meet this criteria?

Correct Answer is B

Explanation

The nurse should teach the client to monitor for which complication of diabetic neuropathy?

Correct Answer is C

Explanation

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