When blood glucose levels are difficult to control in type 2 diabetes some form of insulin may be added to the treatment regimen to control blood glucose and limit complication risks. Which of the following statements is accurate based on research?
1. Premixed insulin analogues are better at lowering HbA1C and have less risk for hypoglycemia.
2. Premixed insulin analogues and the newer premixed insulins are associated with more weight gain than the oral antidiabetic agents.
3. Newer premixed insulins are better at lowering HbA1C and postprandial glucose levels than long-acting insulins.
4. Patients who are not controlled on oral agents and have postprandial hyperglycemia can have neutral protamine Hagedorn insulin added at bedtime.
3
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The nurse is performing an ear examination of an 80-year-old patient. Which of these findings would be considered normal?
a. High-tone frequency loss b. Increased elasticity of the pinna c. Thin, translucent membrane d. Shiny, pink tympanic membrane
The nurse is interviewing the client and learns that the client has an open leg wound that has been draining a moderate amount of yellowish drainage over the last 3 days
Prior to assessing the client's wound, which of the following pieces of personal protective equipment is most important for the nurse to wear based on the principles of standard precautions? 1. Fluid-resistant gown 2. Shoe covers 3. Mask 4. Gloves
The nurse is visiting the home of a patient recovering from an acute gastrointestinal bleed. Which actions should the nurse take to limit distractions during this home visit?
Select all that apply. 1. Establishing short- and long-term goals 2. Explaining the primary goal of home care 3. Exploring the patient's and family's expectations of home care 4. Asking the patient if the television could be turned off during the visit 5. Asking the patient if the visit could be conducted in the bedroom away from small children and pets
After surgery for organ transplantation, a patient is receiving ganciclovir, evfen though he does not have a viral infection. Which statement best explains the rationale for this medication therapy?
A. Ganciclovir is used to prevent potential exposure to the HIV virus B. This medication is given prophylactically to prevent influenza A infection. C. Ganciclovir is given to prevent CMV infection. D. The drug works synergistically with antibiotics to prevent superinfections.