A diabetic pt is on a mixed-dose insulin protocol of 8 units regular insulin and 12 units NPH insulin at 7am. At 10:30am, the pt reports feeling uneasy, shaky, and has a headache. Which is a probable explanation for this?
a. the NPH insulin's action is peaking and there is an insufficient blood glucose level
b. the regular insulin's action is peaking and there is an insufficient blood glucose level
c. the pt consumed too many calories at breakfast and now has an elevated blood glucose level
d. the symptoms are unrelated to the insulin administered in the early morning or food taken in at lunchtime
Answer: b. the regular insulin's action is peaking and there is an insufficient blood glucose level
You might also like to view...
A client had an embolectomy for an arteriovenous malformation (AVM). The client is now reporting a severe headache and has vomited. What action by the nurse takes priority?
a. Administer pain medication. b. Assess the client's vital signs. c. Notify the Rapid Response Team. d. Raise the head of the bed.
A nurse is preparing a plan of care for a client who is prescribed an antiparasitic agent. Which nursing diagnosis would the nurse most likely identify related to the client's drug therapy? Select all that apply
A) Impaired Comfort B) Diarrhea C) Risk for Ineffective Tissue Perfusion D) Risk for Deficient Fluid Volume E) Risk for Impaired Respiratory Function
A patient was severely injured when a building exploded. The patient's pain level report does not seem to reflect the severity of these injuries. How would the nurse evaluate this response?
1. The patient is in shock and cannot respond to painful stimuli. 2. Someone at the scene must have given the patient pain medication. 3. The patient has increased endogenous opioids. 4. The patient does not understand the severity of the injuries.
A nurse is assessing the medical history of a client presenting for an office visit. Which assessment finding is most likely to indicate a possible injury to endothelial cells?
A) A healing abrasion on the client's arm. B) A tick removal procedure completed two weeks ago. C) A raised, blistering rash on the client's leg caused by poison ivy. D) A 20 pack-year history of smoking.