The nurse has been reviewing options for insulin therapy with several clients. For which client does the nurse choose to recommend the pen-type injector insulin delivery system?
a. Older adult client who lives at home alone but has periods of confusion
b. Client on an intensive regimen with fre-quent, small insulin doses
c. Client from the low-vision clinic who has trouble seeing the syringe
d. "Brittle" client who has frequent episodes of hypoglycemia
B
The pen-type injector allows greater accuracy with small doses, especially doses lower than 5 units. It is not recommended for those who have visual or neurologic impairments. The client with frequent hypoglycemia would not derive special benefit from using the pen.
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The nurse is caring for a client who has previously had a sacral decubiti that has completely healed. In developing the risk profile for skin breakdown, the nurse recognizes that a prior pressure ulcer would
A) heal faster with reinjury. B) break down faster with reinjury. C) have no sensation in the injured area. D) be at risk for infection even with intact skin.
A client who is being admitted to the postanesthesia care unit (PACU) has weak hand grasps on assessment and is unable to lift his head off the bed. During hand-off report, the nurse notes that the client has received a neuromuscular-blocking agent
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Which finding from the history of a child with extensive burns would make you most alert to assess for respiratory complications?
A) The fire was caused by burning weeds. B) The child's clothing was burned. C) The child was trapped in a closed burning bedroom. D) Firemen found the child sobbing silently.
A 30-year-old nurse who works on a busy medical-surgical unit has been diagnosed with multiple sclerosis (MS). What should the nurse identify as a priority for self-care?
A. Work as hard as possible now because it may not be possible later. B. Continue to work as scheduled without making changes. C. Leave employment as a nurse due to the need for complete bed rest. D. Apply for nursing positions that are less stressful and demanding.