The nurse is planning the care for a patient admitted with diabetic ketoacidosis. The nurse realizes that the patient's blood glucose level will be best controlled by which of the following?
1. a sliding scale coverage with regular insulin
2. BID dosing of NPH insulin and PRN coverage with regular insulin
3. a once-per-evening dose of Lantus insulin, and daytime coverage with regular insulin
4. a continuous low-dose intravenous infusion of regular insulin
4
Rationale: A low-dose continuous source of insulin provides for stricter regulation and control of the blood sugar because dosing can be regulated hourly. Twice a day dosing of NPH insulin and as needed coverage with regular insulin and a once-per-evening dose of Lantus insulin with daytime coverage of regular insulin are frequently used to regulate patients with type 1 diabetes experiencing blood sugar fluctuations secondary to physiological stressors. Sliding scale coverage with regular insulin is frequently used to regulate blood sugars in a patient with type 2 diabetes who does need a daily insulin dose but is experiencing elevated blood sugars.
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The nurse is giving a bath demonstration for a group of new mothers. An important piece of information she gives this group is to:
a. apply baby powder generously to keep baby dry. b. cleanse perineum from front to back. c. use scented soap to make baby smell good. d. partially submerge head in water when shampooing.
The bodily changes that occur during the aging process can affect an older person's body image and self-concept. The nurse can gain insight into the emotional well-being and self-concept of older persons by:
A) Uncovering any unresolved guilt and perceived failures B) Reviewing how they interpret and refine their past experiences C) Examining what roles they accept and what roles they reject D) Determining which work roles they forfeit
The community health nurse is administering flu shots to children at a local playground. What is the rationale for this nurse's action?
a. To prevent individual illness b. To prevent community outbreak of illness c. To prevent outbreak of illness in the family d. To prevent needs of the local population groups
The nurse needs to recognize that depression is least likely to develop in which of the following clients?
a. 18 year old with Crohn's b. 42 year old disabled with back injury c. 52 year old hospitalized for a week d. 68 year old attending regular cardiac rehabilitation exercise program with peers