The nurse discovers the type 1 diabetic (IDDM) patient drowsy and tremulous, the skin is cool and moist, and the respirations are 32 and shallow. These are signs of:
a. hypoglycemic reaction; give 6 oz of orange juice.
b. hyperglycemic reaction; give ordered regular insulin.
c. hyperglycemic hyperosmolar nonketotic reaction; squeeze glucagon gel in buccal cavity.
d. hypoglycemic reaction; give ordered insulin.
ANS: A
Hypoglycemic reaction is due to not enough food for the insulin. Quick acting carbohydratesâ€"such as orange juice or longer acting foods such as milk, crackers, and cheeseâ€"are beneficial.
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The nurse knows that during the resuscitation of a patient with diabetic ketoacidosis, the IV line should be changed to a solution containing glucose when the
a. patient becomes more alert. c. blood glucose drops to 200 mg/dL. b. IV insulin has been infusing for 4 hours. d. blood glucose drops to 100 mg/dL.
The nurse is teaching a couple about the pros and cons of genetic testing. Which of the following statements would best describe the limits of genetic testing?
A) "Various genetic tests help the physician choose appropriate treatments." B) "Genetic testing helps couples avoid having children with fatal diseases." C) "Genetic tests identify people at high risk for preventable conditions." D) "Some genetic tests can give a probability for developing a disorder."
REM sleep comprises what percent of the sleep cycle?
a. 70% to 75% b. 45% to 65% c. 15% to 20% d. 20% to 25%
A nurse is caring for a patient who has been noncompliant with the prescribed diabetic diet and exercise regimen. The nurse promotes compliance by enhancing the patient's:
a. sense of control. b. sense of well-being. c. fear of the sequelae of illness. d. dependence on health care workers.