A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels. She shows the nurse her readings for the past few days
Which one should the nurse tell her indicates a need for adjustment (insulin or sugar)? 1. 75 mg/dl before lunch; this is low, better eat now
2. 115 mg/dl 1 hour after lunch; this is a little high, maybe eat a little less next time
3. 115 mg/dl 2 hours after lunch; this is too high, time for insulin
4. 60 mg/dl just after waking up from a nap; this is too low, maybe eat a snack be-fore going to sleep
4
1. Incorrect. The premeal acceptable range is 65 to 95 mg/dl.
2. Incorrect. The readings 1 hour after a meal should be less than 130.
3. Incorrect. Two hours after eating, the readings should be under 120.
4. Correct. This is too low. During hours of sleep, glucose levels should not be less than 70. Snacks before sleeping can be helpful.
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A patient who is severely brain damaged has decerebrate posturing with extended extremities. The nurse understands that damage most likely occurred in which area of the brain?
a. Cerebellum b. Cerebrum c. Brain stem d. Hypothalamus
The nurse is caring for a 70-kg patient in hypovolemic shock
Upon initial assessment, the nurse notes a blood pressure of 90/50 mm Hg, heart rate 125 beats/min, respirations 32 breaths/min, central venous pressure (CVP/RAP) of 3 mm Hg, and urine output of 5 mL during the past hour. Following physician rounds, the nurse reviews the orders and questions which order? a. Administer acetaminophen (Tylenol) 650-mg suppository prn every 6 hours for pain. b. Titrate dopamine (Intropin) intravenously for blood pressure < 90 mm Hg systolic. c. Complete neurological assessment every 4 hours for the next 24 hours. d. Administer furosemide (Lasix) 20 mg IV every 4 hours for a CVP > 20 mm Hg.
The nurse is measuring vital signs when the patient, who is standing, complains of dizziness. What is the nurse's priority intervention?
a. Call for immediate assistance. b. Help the patient to lie on the floor. c. Help the patient to a seated position. d. Inform the patient that the dizziness will pass.
Which of the following factors has the greatest impact on health care available to non-Hispanic white minority groups in the United Sates?
1. Significant language barriers 2. Inappropriately high poverty rates 3. Genetically based disease processes 4. Mistrust of Western medical practices