A nurse recalls insulin has an effect on which of the following groups of electrolytes?
a. Sodium, chloride, phosphate
b. Calcium, magnesium, potassium
c. Hydrogen, bicarbonate, chloride
d. Potassium, magnesium, phosphate
ANS: D
Insulin facilitates the intracellular transport of potassium (K+), phosphate, and magnesium. Insu-lin does not facilitate the intracellular transport of sodium, chloride, calcium, hydrogen, or bicar-bonate.
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What will be an ideal response?
The nurse is caring for a 25-year-old soldier on the day following an enucleation due to traumatic injury. The soldier states, "My girlfriend probably won't have anything to do with me since I'll never look the same!"
What is an appropriate response by the nurse? 1. "You'll probably get your temporary prosthesis in a week and your permanent one in 1 or 2 months. Most people won't know which eye is which." 2. "I wouldn't worry; your girlfriend is not going to give up on you." 3. "Your hearing aid will be nearly invisible; no one will know you have one." 4. "Why don't you tell a couple of your friends to bring you a pizza? That will cheer you up."
The patient has advanced cancer and is experiencing malignant pain. How should the nurse plan to manage this pain?
1. Use the intravenous route for pain medication administration. 2. Set up a dosing schedule that provides for around-the-clock doses. 3. Encourage the patient to wait 10 minutes after pain medication is required to ask for a dose. 4. Augment the patient's regimen with other pharmaceutical and nonpharmaceutical pain relief measures for breakthrough pain. 5. Counsel the patient that it is not possible to eliminate all the pain of cancer and that some must be tolerated.
A nurse is working with a client who is prescribed a second-generation neuroleptic medication and gains 40 pounds. The nurse knows that this weight gain may be a factor in the:
a. exacerbation of sleep apnea commonly observed with long-term use of these drugs b. occurrence of obsessive-compulsive symptoms with long-term use of these drugs c. lack of improvement in "negative" symptoms, even after long-term use of these drugs d. development of diabetes that sometimes accompanies long-term use of these drugs