A patient who has been self-injecting insulin for 10 years now has warmth, redness, and pain at the injection site. What is your best action?
a. Hold the next dose of insulin and notify the prescriber as soon as possible.
b. Teach the patient to apply ice to the area and use a different site for injection.
c. Ask how long the problem has been present and assess the patient for other symptoms of infection.
d. Document the response and reassure the patient that this is a common response that requires no action.
ANS: C
You might also like to view...
Melissa is a 15-year-old high school student. Over the last week, she had been feeling tired and found it difficult to stay awake in class. By the time the weekend had arrived, she developed a sore throat that made it difficult to eat and even drink
Melissa was too tired to get out of bed, and she said her head ached. On Monday morning, her mother took her to her doctor. Upon completing the physical exam, he told Melissa the lymph nodes were enlarged in her neck and she had a fever. He ordered blood tests and told Melissa he thought she had mononucleosis, a viral infection requiring much bed rest. Innate and adaptive immune defenses work collectively in destroying invasive microorganisms. What is the interaction between macrophages and T lymphocytes during the presentation of antigen? Melissa's illness is caused by a virus. Where are type I interferons produced, and why are they important in combating viral infections? Humoral immunity involves the activation of B lymphocytes and production of antibodies. What are the general mechanisms of action that make antibodies a key component of an immune response?
Which of the following is true of measurability within the context of the nursing diagnosis?
a. The outcome can be consistently evaluated. b. Measurability establishes the outcome priority. c. Measurability is the manner in which data is collected. d. Measurability is the amount of pain medication a patient receives.
You walk into your patient's room and find her sobbing uncontrollably. When you ask what the problem is, your patient responds, "I am so scared. I have never known anyone who goes into a hospital and comes out alive."
On this patient's care plan you note a nursing diagnosis of ineffective coping related to stress. What is the best outcome you can expect for this patient? A) Patient will adapt relaxation techniques to reduce stress. B) Patient will be stress free. C) Patient will avoid stressful situations. D) Patient will start anti-anxiety agent.
The community nurse explains to a group of clients that taking combination drugs for a cold can be dangerous and cites several examples, such as:
Standard Text: Select all that apply. 1. an older male taking a cold medication with chlorpheniramine and phenylephrine (Actifed Cold and Allergy) for congestion. 2. a client with chronic obstructive pulmonary disease (COPD) taking a cold medication containing triprolidine and pseudoephedrine (Actifed Plus) for seasonal allergies. 3. a client with liver disease taking a medication containing diphenhydramine and acetaminophen (Tylenol PM). 4. a young adult with sinusitis taking a medication containing chlorpheniramine and phenylephrine (Sudafed Sinus and Allergy). 5. a middle-aged client with a cough taking a medication containing diphenhydramine and phenylephrine (Benadryl Allergy and Cold caplets).