What intervention should the nurse suggest to the diabetic client who self-injects insulin to prevent or limit local irritation at the injection site?
A. "Do not reuse needles."
B. "Massage the site for 1 full minute after injection."
C. "Try to make the injection deep enough to enter muscle."
D. "Allow the insulin to warm to room temperature before injection."
D
Cold insulin directly from the refrigerator is the most common cause of irritation (not infection) at the insulin injection site.
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A patient is admitted to the ICU for observation of his grade II splenic laceration. Which of the following signs and symptoms would suggest that he has had a delayed rupture of his splenic capsule and is now in hemorrhagic shock?
a. BP, 110/70 mm Hg; HR, 120 beats/min; Hct, 42 mg/dL; UO, 40 mL/hr; skin that is pink, warm, and dry with capillary refill of 3 seconds b. BP, 90/70 mm Hg; HR, 140 beats/min; Hct, 21 mg/dL; UO, 10 mL/hr; pale, cool, clammy skin; confused c. BP, 100/60 mm Hg; HR, 100 beats/min; Hct, 35 mg/dL; UO, 30 mL/hr; pale, cool, dry skin; alert and oriented d. BP, 110/60 mm Hg; HR, 118 beats/min; Hct, 38 mg/dL; UO, 60 mL/hr; flushed, warm, diaphoretic skin; agitated and confused
The nurse cares for an admitted client to rule out a multiple myeloma diagnosis. Which finding does the nurse report to the healthcare provider immediately?
1. Positive Bence Jones protein 2. Bone pain in the lower ribs 3. Hemoglobin level is decreased to 11 g/dL 4. Blood Urea Nitrogen changed from 20 mg/dL to 48 mg/dL
The health care provider prescribes finasteride (Proscar) for a 67-year-old patient who has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the nurse informs him that
a. he should change position from lying to standing slowly to avoid dizziness. b. his interest in sexual activity may decrease while he is taking the medication. c. improvement in the obstructive symptoms should occur within about 2 weeks. d. he will need to monitor his blood pressure frequently to assess for hypertension.
A client has been taking corticosteroids. The nurse suspects that the client has a history of adrenocortical insufficiency when the use of which other medication is documented in the record?
1. Isosorbide 2. Ciprofloxacin 3. Fludrocortisone 4. Metformin