Which of the following orders would the LPN question in a patient with Type I diabetes?
Insulin glargine
Acarbose
Insulin lispro
Insulin regular
The Correct Answer is B
A. Insulin glargine: Insulin glargine is a long-acting insulin used for basal insulin control in Type 1 diabetes, making it appropriate for this condition.
B. Acarbose: Acarbose is an alpha-glucosidase inhibitor used to treat Type 2 diabetes by slowing carbohydrate absorption in the intestines. It is not typically used in Type 1 diabetes, where insulin is the primary treatment. LPNs should question its use in Type 1 diabetic patients.
C. Insulin lispro: Insulin lispro is a rapid-acting insulin used to control blood sugar spikes after meals, making it suitable for Type 1 diabetes.
D. Insulin regular: Regular insulin is a short-acting insulin used to manage blood sugar levels, appropriate for Type 1 diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Complaints that he is unable to hear the television: Correct. Gentamycin is an aminoglycoside antibiotic that can cause ototoxicity, leading to hearing loss or tinnitus.
B. Tingling of the extremities: This may indicate neuropathy but is not specific to ototoxicity.
C. an increase in the BUN and creatinine: This indicates nephrotoxicity, not ototoxicity.
D. changes in mental status: This could indicate various conditions, including neurotoxicity or other systemic effects, but not specifically ototoxicity.
Correct Answer is D
Explanation
A. "Have you noticed any blood in your stool?" While this could be a symptom of a severe reaction, it's not the most immediate concern for an allergic reaction.
B. "Are you having difficulty with your hearing?" Hearing problems are not typical symptoms of an antibiotic allergy.
C. "Do you have a headache?" Headaches can occur with various conditions, including allergic reactions, but it's not the most concerning symptom in this case.
D. "Are you having any difficulty breathing?" Difficulty breathing can be a sign of a severe allergic reaction (anaphylaxis) and requires immediate intervention. This is the most critical symptom to assess for.
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