The nurse is about to administer a patient's morning dosage of insulin. The patient's scheduled order for every morning is:NPH Insulin (Humulin N) 8 units.Regular Insulin (Humulin R) 5 units.The patient also has Sliding Scale Regular Insulin Coverage ordered (shown below) based on the blood glucose level.The nurse performs a bedside blood glucose measurement and the result is 196 mg/dL.How many total units of insulin (regular and NPH) should the nurse administer to this patient?Plasma glucoseRegular Insulin<7071-140141-180181-240241-300301-400>400transcriptO a. 13 unitsO b. 15 unitsO c. 16 unitsO d. 17 unitsO e. 21 unitsCall physician0 Units2 Units4 Units6 Units9 Units12 Units and callthe physician

NPH and Regular insulin are two types of insulin used to treat diabetes. NPH insulin is an…

Answered: The nurse is about to administer a…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Escalation of care is actioned/intervened for dehydrated patients with tye 1 diabetes. Why?
The nurse working in an endocrine unit should see which client first? A. A client taking corticosteroids who has become disoriented in the last two hours. B. An adolescent male with type 1 diabetes who is arguing about his insulin dose. C. An older client with Addison's disease whose current blood sugar level is 62 mg/dL D. An adult with a blood sugar of 384 mg/dL and urine output of 350 mL in the last hour
You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet. Doctor said something about my ‘A1c’. Do you know what that is about?” ----- Can you Explain in detail what is A1c? Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize…
A nurse is caring for an older patient with type II diabetes who is living in a long-term care facility. The nurse deter-mines that the patient’s fluid intake and output is approxi-mately 1200 mL daily. What patient teaching would the nurse provide for this patient? Select all that apply.a. “Try to drink at least six to eight glasses of water eachday.”b. “Try to limit your fluid intake to one quart of waterdaily.”c. “Limit sugar, salt, and alcohol in your diet.”d. “Report side effects of medications you are taking,especially diarrhea.”e. “Temporarily increase foods containing caffeine for theirdiuretic effect.”f. “Weigh yourself daily and report any changes in yourweight.”
A 12-year-old boy is brought to the physician because of increased urination and progressive fatigue during the past two weeks. Vital signs are within normal limits except for a pulse of 120/min. Physical examination shows dry skin and mucous membranes. His fasting serum glucose concentration is 350 mg/dL. The patient improves after insulin treatment. Which of the following best describes the effect of insulin binding to the insulin receptor (IR) on the surface of hepatocytes in this patient? a. Activation of serine/threonine kinase activity of the IR b. Down regulation of phosphoenolpyruvate carboxykinase c. Inactivation of ras d. Inhibition of glucose-transporter-4 (GLUT-4) translocation to the cell membrane e. Inhibition of phosphatidylinositol-3-kinase signaling pathway
What is the nursing inference of patient his nursing diagnosis risk for DKA related to inadequate insulin therapy insufficient knowledge or other contributing factors?
Amelia Frankish is 67 years old. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT (computerised tomography) of Amelia's head and neck. medical history: Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. GP diagnosis - one week ago. Amelia underwent a CT scan of the head and neck, but the results were normal. Amelia was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD. Today: Amelia woke early this morning at 0600 hours with a 5/10 headache.…
“You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.” Q1. Please explain to JD why he needs carbohydrates and describe the 2 functions of carbohydrate. Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize normal blood…
Read the following paragraph and answer the following questions on your laboratory report sheet. Diabetes is a disease affecting the insulin-producing glands of the pancreas. If there is not enough insulin being produced by these cells, the amount of glucose in the blood remains high. A blood glucose level above 140 mg/dL for an extended period of time is not considered normal and can indicate that a person is diabetic. This disease, if not brought under control, can lead to severe complications and even death. Based on the information, develop a hypothesis relating the level of blood glucose to time. What would your experimental approach be to test this hypothesis?
A 5-year-old boy is brought to the pediatrician's office for an annual visit. The mother reports he has been a sickly infant and often appears drowsy. She also has concerns over her son's persistent thirst and frequent urination. Blood samples are taken for insulin measurements at time zero and 1 hour after a glucose loading test. The results of this testing are illustrated in the table below: Baseline blood sample Control Serum insulin levels (mU/L) Patient 0.8 6 +/- 2 1 hour after glucose load Patient 5 Control 40 +/- 11 1. What is this information likely to suggest about the underlying biochemical basis for the patient symptoms? 2. What would you predict the patients' fasted blood glucose levels to be given his current condition? (e.g. above normal range; within the normal range; below the normal range) 3. Based on this diagnosis, what 2 regulatory enzymes are likely to be active in this individuals' current condition. Be sure to include a rationale as to why the activity of
Jesse comes to the medical office for pre-lunch check blood glucose of 210 MG/DL. lunch = 59 g, ISF = 1: 60 target of 120 mg/dL I:C =1:30. how much insulin should you administer using carb coverage and correction dose using ISF?
An older client's glucose tolerance test is scheduled to be repeated because prescribed medications were not held before the last test. Which medication should the nurse identify as causing the client to have a falsely elevated glucose tolerance test? aspirin O Synthroid furosemide propranolol

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