The nurse is caring for a patient suspected of having

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Essentials of Pharmacology for Health Professions
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Chapter 23 / Exercise 16
Essentials of Pharmacology for Health Professions
Colbert/Woodrow
Expert Verified
The nurse is caring for a patient suspected of having ketoacidosis. What early manifestation(s) may be noted with this condition? (Select all that apply.)a.Fruity breathb.Polyuriac.Nausead.Thirste.Sunken eyesANS: A, B, DKetoacidosis is a complication associated with type 1 diabetes. Some of the earliest symptoms may be polyuria, fatigue, anorexia, abdominal pain, and a fruity smell to the breath. Later signs and symptoms will include sunken eyes as a result of excessivedehydration. Nausea is not associated with ketoacidosis.DIF: Cognitive Level: Analysis REF: 861 OBJ: 4 (theory)TOP: Types of Diabetes: Characteristics KEY: Nursing Process Step: AssessmentMSC: NCLEX: Health Promotion and Maintenance29. The nurse is observing a patient administer insulin. Which observation indicates the need for further instruction? (Select all that apply.)a.The patient uses a 90-degree angle to administer the injection.
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Essentials of Pharmacology for Health Professions
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Chapter 23 / Exercise 16
Essentials of Pharmacology for Health Professions
Colbert/Woodrow
Expert Verified
b.The patient cleans the injection site with alcohol before the injection.c.The patient rubs the injection site after administration of the insulin injection.d.The patient draws up the cloudy insulin and then the clear insulin.e.The patient shakes the insulin bottle before administration.ANS: C, D, EWhen administering insulin the site is cleaned with alcohol before the injection but not after. Rubbing will alter the rate of absorption. When mixing two types of insulin the clear should be drawn into the syringe first. This prevents contamination of the second vial. Shaking the bottle can damage the solution. The bottle should be gently rolled between the palms of the hands.DIF: Cognitive Level: Analysis REF: 871 OBJ: 1 (clinical)TOP: Patient Teaching: Guidelines for Subcutaneous Insulin InjectionKEY: Nursing Process Step: EvaluationMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral TherapiesCOMPLETION30. The nurse explains that the three cardinal signs of type 1 diabetes mellitus are __________, __________, and __________.ANS:polydipsia, polyphagia, polyuriapolydipsia, polyuria, polyphagia
polyphagia, polyuria, polydipsiapolyphagia, polydipsia, polyuriapolyuria, polydipsia, polyphagiapolyuria, polyphagia, polydipsiaThe three Pspolydipsia, polyphagia, and polyuriaare the cardinal signs of diabetes.DIF: Cognitive Level: Comprehension REF: 857 OBJ: 1 (theory)TOP: Type 1 Diabetes Mellitus: Cardinal SignsKEY: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity: Physiological AdaptationMATCHINGThe nurse associates the type of diabetes with the characteristics that may be seen with the specific disease. Match the type of diabetes with the symptoms that are associated with it. (The options may be used once, more than once, or not at all.)a.Type 1b.Type 2c.Gestationald.Prediabetes31. Weight loss and exercise can delay onset of diabetes32. Occurs during pregnancy
33. Adult onset34. Little or no endogenous insulin35. Threat of renal, retinal, and neurologic complications36. Rarely develops ketosis31. ANS: D DIF: Cognitive Level: Analysis REF: 857OBJ: 1 (theory) TOP: Types of Diabetes: CharacteristicsKEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance32. ANS: C DIF: Cognitive Level: Analysis REF: 857OBJ: 1 (theory) TOP: Types of Diabetes: CharacteristicsKEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance33. ANS: B DIF: Cognitive Level: Analysis REF: 857

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