Which statement made by a client whom the nurse is teaching how to self-inject insulin reflects a need for clarification of injection site selection and rotation?
A. "The abdominal site is best because it is closest to the pancreas."
B. "I can reach my thigh the best, so I will use different areas of the same thigh."
C. "By rotating the sites within one area, my chances of having tissue increases or decreases is less."
D. "If I change injection sites from the thigh to the arm, the rate of absorption will be different."
A
The abdominal site has the fastest rate of absorption because of the blood vessels in the area and not because of its proximity to the pancreas.
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An adult client continues to request intravenous pain medications 4 days after being placed in skeletal traction due to a complex fracture of the hip
While giving report to the next shift, the nurse who cared for the client during the day states, "I just do not know why he still needs medication 4 days after surgery. The client we had last month with the same type situation did not need any medication after 2 days." Which response by a nursing peer is the best example of being a client advocate? 1. "I just think this client needs more because of his age." 2. "Have you tried getting the doctor to order oral pain medications to see if they work?" 3. "Wouldn't you want all of the pain medication you could have if you were in traction?" 4. "Everyone does not have the same pain perception or response to a similar injury."
A patient comes into the orthopedic clinic complaining of severe pain in his hip that was not caused by a fall. On inspection, the femur and tibia are bowed
There is also a reduced angle of the femoral neck, which gives the patient a "waddling gait" appearance. The doctor suspects Paget disease. The patient asks how he got that. The nurse will respond, A) "It's because you don't eat enough calcium-rich foods in your diet." B) "When you were a child you probably broke you hip, and since it wasn't displaced, you continued to walk on it." C) "It might be related to a thyroid condition. We will need to run some more blood work." D) "It's most likely a genetic predisposition. Do you know if anyone else in your family has this problem?"
A young hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish and the nurse speaks only English. What should the nurse do?
a. Use short words and talk more loudly? b. Ask an interpreter for help c. Explain why care can't be provided d. Provide instructions in writing.
Describe the actions and give examples of anticonvulsants.
What will be an ideal response?