Which action is most appropriate regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?
a. Give it within 15 minutes of mealtime.
b. Give it after the meal has been completed.
c. Administer it once daily at the time of the midday meal.
d. Administer it with a snack before bedtime.
ANS: A
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A client diagnosed with mitral insufficiency has a murmur with a musical quality over the apex of the heart. The nurse recognizes that this is caused by:
1. Regurgitation of blood from the left ventricle into the left atrium. 2. Regurgitation of blood from the right ventricle into the right atrium. 3. Enlargement of the right ventricle due to increased pressure in the right atrium. 4. Regurgitation of blood from the aorta into the left ventricle.
A nursing instructor quizzes students on the signs and symptoms of hypothyroidism. Which responses by the students would indicate that further teaching is needed? Select all that apply
a. Tachypnea d. Dry, cold, coarse skin b. Constipation e. Hoarseness, puffy face c. Heat intolerance f. Impaired hearing, macroglossia
A client experiencing acute congestive heart failure (CHF) is likely to present with which of the following clinical signs? (Select all that apply.)
1. Flat neck veins 2. Bilateral crackles 3. +2 ankle edema bilaterally 4. Urine output of 790 mL in 24 hours 5. History of a 5-pound weight gain in 3 days 6. Systemic blood pressure 15 mm Hg above usual baseline
The nurse has identified a priority problem on her unit. Which of the following statements is true regarding addressing a priority problem?
A) Setting priorities involves skipping interventions. B) Priorities are set at predetermined intervals throughout the shift. C) A priority problem requires a nursing intervention before another problem is addressed. D) Priority of problems is established and continued according to the nursing plan of care. E) The physician is responsible for determining priority of patient needs.