A patient with type 1 diabetes is eating breakfast at 0730 . Blood sugars are on a sliding scale and are ordered AC and HS. The patient's blood sugar level is 317
Which of the following formula-tions of insulin should the nurse prepare to administer? a. No insulin should be administered.
b. NPH
c. 70/30 mix
d. Regular
D
Regular insulin is indicated for sliding scale coverage.
Insulin is definitely indicated for this high blood sugar level.
NPH is used for scheduled insulin coverage and is a longer acting insulin.
A 70/30 mix is also used for scheduled insulin coverage.
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The nurse knows that a diabetic patient admitted for a lower limb infection likely is experiencing which of the following pathophysiologic principles listed below? Select all that apply
A) Many diabetic patients have sensory deficits and ignore minor trauma just because they can't feel it in their feet. B) Patients with chronic diabetes may have vascular problems that impair circulation, and therefore cells needed for adequate inflammatory response cannot reach the site. C) Hyperglycemia may provide an environment that enhances the growth of microorganisms. D) Infections happen to all age groups and people, and the diabetic patient has the same risk for developing an infection as other patients without diabetes. E) Any exercise that creates diaphoresis in the feet can cause a fungal infection in diabetic patients.
The nurse suspects that a family is experiencing a developmental crisis. What is occurring within the family for the nurse to make this clinical decision?
1. Oldest daughter getting married. 2. Grandfather diagnosed with an illness. 3. Uncle recently passed away. 4. The home was damaged by a tornado a week ago.
According to Issel, when planning a health intervention in a diverse community concerning improving diet, the factor that must be evaluated (which includes shared geographic origin, language and dialect, religious faith, folklore, and food preferences) is
A. Race B. Culture C. Ethnicity D. Custom
A 70-year-old client smoked for 30 years and has a history of COPD. The spouse assists with cooking, cleaning, and transportation. The spouse has become ill, and they now receive assistance from a home health nurse
Which of the following interventions should be the priority? A) Assisting the clients to perform instrumental activities of daily living (IADLs) B) Determining a plan for providing meals C) Setting up medications for the clients D) Smoking cessation plan