A client has a new insulin pump. Which is the nurse's priority instruction in teaching the client?
a. "Test your urine daily for ketones."
b. "Use only buffered insulin."
c. "Keep the insulin frozen until you need it."
d. "Change the needle every 3 days."
D
Having the same needle remain in place through the skin for longer than 3 days drastically in-creases the risk for infection in or through the delivery system. Having an insulin pump does not require the client to test for ketones in the urine. Insulin should not be frozen. Insulin is not buf-fered.
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The patient has been admitted to critical care after a blow to the head. During assessment, the nurse notices bilateral periorbital edema and bruising or "raccoon's eyes." What is the highest-priority nursing action?
A) Protect airway and cervical spine B) Maintain in Trendelenburg position C) Increase frequency of verbal stimulation D) Overhydrate with intravenous fluids
The nurse is admitting the fourth patient in 2 days who is experiencing malaise, high fever, and headache. All patients attended a local air show the previous weekend. Which nursing action is necessary?
1. Discuss the need to contact public health authorities regarding the similarity of the cases. 2. Plan to place the patients in the same room. 3. Ask the patients for permission to talk with family members regarding other symptoms. 4. Assess the patients for what foods they ate while at the air show.
A postpartum client complains of urinary frequency and burning. Which of the following causes would the nurse suspect?
A) Uterine atony B) Urinary tract infection C) Subinvolution D) Stress incontinence
You recently accepted a position on the Labor and Delivery unit at the local hospital. You recognize that infant mortality rates in 2005 were highest among babies born to:
a. non-Hispanic Black mothers. b. Asian adolescent girls between the ages of 14-18. c. unmarried Caucasian women. d. Hispanic women between the ages of 19-24.