For which situation should the nurse suggest the pen-type injector insulin delivery system?
A. The client who is confused and must rely on another person for insulin injections
B. The client using intensive therapy who must use insulin frequently in small doses
C. The client who is visually impaired and cannot accurately draw up insulin
D. The client who has frequent episodes of hypoglycemia
B
The pen-type injector allows greater accuracy with small doses, especially doses lower than 5 units. They are not recommended for people who have visual or neurologic impairments.
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A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and only with great effort but still coherent. What should this nurse determine when assessing this patient?
a. Stroke in evolution with dysarthria b. Lacunar stroke with fluent aphasia c. Complete stroke with global aphasia d. Stroke in evolution with dyspraxia
The nurse is providing care to a school-age client with neutropenia. Which clinical manifestations does the nurse anticipate when assessing this client?
1. Fever 2. Fatigue 3. Tachycardia 4. Hypertension 5. Tachypnea
A 12-month-old child attends day care and is seen in a clinic for a second middle ear infection since age 8 months
The parent calls the nurse to report that after the third day of giving amoxicillin (Amoxil), the child continues to have a temperature of 39.5° C and is unable to sleep well because of pain. What will the nurse do? a. Encourage the parent to discuss amoxicillin/clavulanate (Augmentin) with the child's provider. b. Recommend that the parent consider removing the child from day care to reduce exposure to infection. c. Schedule a clinic appointment for the child to clinic to receive ceftriaxone (Rocephin) IM. d. Tell the parent the child will probably need surgery for tympanostomy tubes to reduce infections.
Which intervention by the nurse is most important for a patient with symptoms of a pheochromocytoma?
a. Offer distraction such as television or music. b. Encourage frequent intake of fluids. c. Provide a calm, quiet environment. d. Assist with ambulation at least three times a day.