Which of these statements by a patient who has a new diagnosis of diabetes mellitus requires immediate nursing intervention?
1. "I am allergic to eggs.".
2. "I will take my lispro insulin 15 minutes before I eat breakfast.".
3. "I will adjust the amounts of my premixed insulin according to my food intake.".
4. "I will not use detemir insulin in my insulin pump.".
3
Rationale 1: An allergy to eggs does not require immediate nursing intervention.
Rationale 2: Lispro insulin is properly administered 15 minutes prior to a meal.
Rationale 3: One of the problems associated with premixed insulin is that it does not allow easy adjustment of premeal and basal insulin.
Rationale 4: Detemir insulin is not used in insulin pumps.
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The nurse is examining the oral cavity of an elderly client with complaints of mouth soreness. Red, cracked skin is noted at each corner of the mouth
Which of the following findings is most consistent with this client's condition? Standard Text: Select all that apply. 1. The client states, "I have an appointment next week to get some better fitting dentures.". 2. Red blood cell count is 6.2 million/ mm3. 3. The healthcare provider has diagnosed the client with cheilitis. 4. The client suffered from a cerebrovascular accident last May. 5. The result of the culture of the drainage is that candida albicans is present.
The nurse instructs a client that a normal observation during breast self-examination (BSE) is
a. contour changes. b. dimpling. c. nipple deviation. d. variation in breast size.
A client with damage to cranial nerve X describes difficulty in moving food toward the rear of the mouth for swallowing. With which phase of swallowing is this client experiencing dif-ficulty?
A. Esophageal B. Pharyngeal C. Propulsant D. Voluntary
Valves to control the movement of food in and out of the stomach are called
a. reflux regulators. b. peristalsis muscles. c. sphincter muscles. d. segmentation muscles.