For a client with DKA receiving insulin to correct hyperglycemia, the nurse knows that the most appropriate route of administration would be

a. intradermal.
b. intramuscular.
c. intravenous.
d. subcutaneous.


C
Insulin should never be given subcutaneously to a client with DKA, because the subcutaneous tissues are dehydrated and poorly perfused with blood from dehydration and hypovolemic shock. Traditionally, the hyperglycemia associated with DKA is treated with an IV bolus of regular in-sulin, with an insulin drip then started.

Nursing

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The patient is scheduled for a lobectomy. As part of preoperative teaching, the nurse stresses the importance of coughing and deep breathing postoperatively. What positive outcome from this procedure does the nurse expect?

A) Thicker and less mobile secretions B) Lower incidence of atelectasis C) Increased risk for pneumonia D) Increased need for pain medication

Nursing

A 10-year old is referred for counseling due to problems at school. During the interview, it is learned that the child has been the victim of sexual violence. An assessment of this child would most likely find:

A) Substance abuse. B) Disruptive behavior. C) Depression. D) Anxiety.

Nursing

The midwife performs a vaginal exam and determines that the fetal head is at a -2 station. The nurse knows that birth:

1. Is imminent. 2. Is likely to occur in 1–2 hours. 3. Will occur later in the shift. 4. Is difficult to predict.

Nursing

Based on your scoring, what level of CVA did N.T. experience?

What will be an ideal response?

Nursing