Which specific part of the following sliding scale would necessitate clarification with the prescriber?
Blood Glucose Level (mg per dL) Regular Insulin (units subcut)
0-180 0 units
180-250 2 units
251-300 4 units
300-350 6 units
Over 350 8 units and call MD
The 180 level is indicated for two of the orders: 0 and 2 units.
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The nurse admitting a patient who is insulin dependent to the same-day surgical suite for carpal tunnel surgery. How should this patient's diagnosis of type 1 diabetes affect the care that the nurse plans?
A) The nurse should administer a bolus of dextrose IV solution preoperatively. B) The nurse should keep the patient NPO for at least 8 hours preoperatively. C) The nurse should initiate a subcutaneous infusion of long-acting insulin. D) The nurse should assess the patient's blood glucose levels vigilantly.
The nurse is preparing to admit a client with severe respiratory acidosis who is diagnosed with acute pneumonia. The nurse anticipates that one treatment for this client may be which of the following?
1. Administration of digoxin for heart failure 2. Mechanical ventilation 3. Fluid restriction 4. Regular diet
An older adult is prescribed naproxen (Naprosyn) 250 mg orally twice daily for management of arthritis pain. Which precaution is most important for the nurse to teach?
a. "Weigh yourself daily every morning, and if you gain more than 3 to 4 pounds in a week, report it to your prescriber." b. "Avoid taking blood pressure medicine at the same time as this drug because Naprosyn inactivates these drugs." c. "Go to the emergency department for an injection of Naprosyn if you are vomiting and cannot keep the drug down." d. "Drink a full glass of water every time you take a dose of Naprosyn."
Describe the difference between nursing diagnosis and medical diagnosis. Explain why both diagnoses are necessary.
What will be an ideal response?