The nurse is preparing discharge teaching for an older patient receiving insulin injections for diabetes. What should the nurse teach the patient about the insulin?

1. Always keep insulin refrigerated.
2. Systematically rotate insulin injection sites.
3. Increase the amount of insulin before exercise.
4. Ketones in the urine signify a need for less insulin.


2. Systematically rotate insulin injection sites.

Explanation: 1. Insulin should be at room temperature when preparing an injection.
2. Insulin injection sites should be rotated to reduce the risk of lipodystrophy.
3. Insulin should not be adjusted prior to exercise.
4. Ketones in the urine may indicate a need for more insulin.

Nursing

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The nurse is working on an inpatient psychiatric unit that uses milieu therapy. The nurse's role in this form of therapy is to:

1. Avoid caring for the same client every day. 2. Model normal behavior for the clients. 3. Provide verbal rewards for good behavior. 4. Provide negative reinforcement for bad behavior.

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A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin breakdown and irritation at the insertion site. Which of the following would be the most appropriate method to clean and secure the gastrostomy tube?

A) Make sure the tube cannot be moved in and out of the child's stomach. B) Use adhesive tape to tape the tube in place and prevent movement. C) Place a transparent dressing over the site whether there is drainage or not. D) If any drainage is present, use a presplit 2 × 2 and place it loosely around the site.

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As a result of seizure activity, a computed tomography (CT) scan was performed and showed that an 18-month-old child has intracranial arteriovenous malformation

When developing the child's plan of care, the nurse would expect to implement actions to prevent which of the following? A) Drug interactions B) Developmental disabilities C) Hemorrhagic stroke D) Respiratory paralysis

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A patient takes an enteric-coated, long-acting antihistamine for allergic rhinitis. The patient complains, "I think the medicine is too strong. I'm going to try cutting the tablets in half." Select the nurse's best response

1. "Cutting tablets can be hazardous because all of the medication is released at once." 2. "Taking the tablets on an empty stomach would be a better way to reduce the symptoms." 3. "Cutting tablets will make them last twice as long without sacrificing efficacy." 4. "You should take 1 tablet every 3 days instead of 1 tablet daily."

Nursing