A patient with type 2 diabetes shows a blood sugar reading of 68 at 6 AM. What action should the nurse implement based on the reading of 72 mg/dL?

a. Notify the charge nurse of the reading.
b. Give regular insulin per a sliding scale.
c. Give him 8 oz of skim milk.
d. Administer the oral glucose tablet.


C
The patient is hypoglycemic and needs an immediate source of glucose, such as milk or orange juice. The oral hypoglycemic agent will not work quickly enough. The charge nurse can be noti-fied later. Giving insulin per a sliding scale would lower the blood sugar level.

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The nurse is obtaining a client's health history. Which illness alerts the nurse to the possibility of abnormal heart valves?

a. Tuberculosis b. Recurrent viral pneumonia c. Rheumatic fever d. Asthma

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The nurse providing care for a birth mother who has chosen to have a closed adoption understands that which of the following is likely to be part of this type of adoption? Select all that might apply

A) The birth mother is able to hold the baby. B) The birth mother may use a lawyer to manage the adoption. C) The birth mother will meet the adoptive parents. D) The adoptive child can visit the birth mother. E) The adoptive family has some information about the birth mother.

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Matching

a. _____ in myocardial cells function as electrical connections and allow the cells to conduct electrical impulses very rapidly. b. Typically results when the heart's demand for oxygen exceeds its supply from the coronary circulation c. Specialized nerve tissue located in the internal carotid arteries and the aortic arch that detect changes in blood pressure d. The _____ septum separates the right and left atria. e. Electrolyte very important in cardiac muscle contraction. f. A negative _____ effect refers to a decrease in heart rate. g. Space between the lungs that contains the heart, great vessels, trachea, and esophagus, among other structures h. Pulmonary arteries and veins, aorta, superior and inferior vena cavae i. Term used to refer to distinct conditions caused by a similar sequence of pathologic events—a temporary or permanent blockage of a coronary artery j. Amount of blood flowing into the right atrium each minute from the systemic circulation k. Sensors in the internal carotid arteries and aortic arch that detect changes in the concentration of hydrogen ions (pH), oxygen, and carbon dioxide in the blood l. A buildup of excess blood or fluid in the pericardial space can cause cardiac _____. 1. Acute coronary syndromes 2. Chronotropic 3. Tamponade 4. Great vessels 5. Gap junctions 6. Chemoreceptors 7. Interatrial 8. Mediastinum 9. Myocardial ischemia 10. Venous return 11. Baroreceptors 12. Calcium

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. To balance the federal budget in 1996, cuts had to be made. Where were the majority of these budget cuts made?

A. Funds for the upper and middle classes, such as removing certain income tax deductions (and therefore not having to pay taxes upon that income) B. Funds for the wealthy, such as an increase in the capital gains tax, so the wealthy contribute more money to support local communities C. Funds to the lower-middle class, such as tax encouragement to establish IRAs D. Funds to the poverty-stricken, such as restricting assistance to only 5 years

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