The client who has used insulin for diabetes control for 20 years has a spongy swelling at the site used most frequently for insulin injection. What is the nurse's best action?
A. Apply ice to this area.
B. Document the finding as the only action.
C. Assess the client for other signs of cellulitis.
D. Instruct the client to use a different site for insulin injection.
D
The client has hypertrophic lipodystrophy as a result of repeated injections at the same site. Avoiding this site for an extended period of time allows the dystrophic changes to regress or at least not to become worse.
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A nurse assesses a client who has a mediastinal chest tube. Which symptoms require the nurse's immediate intervention? (Select all that apply.)
a. Production of pink sputum b. Tracheal deviation c. Pain at insertion site d. Sudden onset of shortness of breath e. Drainage greater than 70 mL/hr f. Disconnection at Y site
The nurse is aware that which area of the kidney provides quick response to any damage or injury to the kidney cells?
A) Juxtaglomerular apparatus B) Renin–angiotensin–aldosterone system C) Macula densa D) Countercurrent mechanism
A patient who has AIDS has lost weight and is easily fatigued because of his malnourished state. The nurse anticipates an order for which antinausea drug to stimulate his appetite?
a. metoclopramide (Reglan), a prokinetic drug b. dronabinol (Marinol), a tetrahydrocannabinoid c. ondansetron (Zofran), a serotonin blocker d. aprepitant (Emend), a substance P/NK1 receptor antagonist
A nurse asks a client, "Are you taking any herbal medicines or other over-the-counter supplements?" The client asks, "Well, yeah, isn't everybody? Why do you need to know?" Which is the most appropriate nursing response?
A) "Actually, I probably do not need to know. We can move on to the next question." B) "The government keeps a close eye on the quality of those products, but we want to make sure they won't interfere with any other medications." C) "Those products are exceptionally safe; these questions are just a formality." D) "Those remedies are not subjected to rigorous FDA standards, and they may interact with prescription medications and other medical treatments."