A nurse reviews the laboratory results of a client who is receiving intravenous insulin. Which should alert the nurse to intervene immediately?
a. Serum chloride level of 98 mmol/L
b. Serum calcium level of 8.8 mg/dL
c. Serum sodium level of 132 mmol/L
d. Serum potassium level of 2.5 mmol/L
ANS: D
Insulin activates the sodium-potassium ATPase pump, increasing the movement of potassium from the extracellular fluid into the intracellular fluid, resulting in hypokalemia. In hyperglycemia, hypokalemia can also result from excessive urine loss of potassium. The chloride level is normal. The calcium and sodium levels are slightly low, but this would not be related to hyperglycemia and insulin administration.
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a. "Let him know that food is available if he wants it, but do not insist that he eat." b. "A feeding tube can be placed in the nose to provide important nutrients." c. "Force him to eat even if he does not feel hungry, or he will die sooner." d. "He is getting all the nutrients he needs through his intravenous catheter."
A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle-feed. During your assessment, you notice that both breasts are swollen, warm, and tender upon palpation
The woman should be advised that this condition could best be treated by: 1. running warm water on her breasts during a shower. 2. applying ice to the breasts for comfort. 3. expressing small amounts of milk from the breasts to relieve pressure. 4. wearing a loose-fitting bra to prevent nipple irritation.
A nurse is assisting an older adult in personal hygiene. What should a nurse do when providing skin care for the client?
A) Bathe the client every day. B) Avoid applying lotions on the skin. C) Use soap when giving a bath. D) Use oils when giving a bath.
A nurse teaches a client about prosthesis care after amputation. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. "The device has been custom made specifically for you." b. "Your prosthetic is good for work but not for exercising." c. "A prosthetist will clean your inserts for you each month." d. "Make sure that you wear the correct liners with your prosthetic." e. "I have scheduled a follow-up appointment for you."