What should you do regarding the elevated glucose level, and why?
What will be an ideal response?
Even though D.H. is on insulin, the physician should be notified that the level is 450 mg/dL. At this
level, D.H. could experience diabetic ketoacidosis. You would expect to monitor his glucose more
frequently and give additional NovoLog insulin as prescribed. D.H. might need to be placed on an
insulin drip that is titrated to achieve an appropriate glucose level.
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What is the most significant disadvantage of using hiring bonuses or sign-on bonuses as hiring aids?
1. They attract new nurse graduates. 2. They do not affect wage scales. 3. They discourage current staff. 4. They recognize achievement and experience.
Which of the following nursing interventions would be utilized in controlling intracranial pressure in a severely brain-injured patient?
A) Keep the head of the bed flat B) Maintain fluid balance with D5W solution C) Maintain cerebral perfusion pressure at 60 mm Hg or greater D) Initiate measures to prevent the Valsalva maneuver
A nursing student's grandmother relates a time in the 1920s when medications were selected based upon the recommendation of a nurse who lived in the neighborhood. How is this possible?
1. Prescriptive authority was not removed from nurse practice acts until the 1950s. 2. The grandmother must be mistaken because medications have always been selected based upon physician prescription. 3. Prior to 1938, most medications were over-the-counter and nurses were instrumental in their choice. 4. This student's grandmother must have lived on a military base or facility where nurses were granted this privilege.
To determine if a client with complaints of pain after walking 5 blocks is experiencing intermittent claudication, the nurse would ask
a. "Do you experience leg swelling?" b. "Does pain go away when you rest?" c. "Is the pain cramp-like?" d. "Is the pain in the calf muscle?"