A 65-year-old man, admitted to the internal medicine ward, was identified as having alternating hyperglycemia and hypoglycemia. The patient received insulin therapy 4 times a day sub-cutaneously. Nurses intervene, namely monitoring blood glucose closely. Things to consider regarding client monitoring
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A 65-year-old man, admitted to the internal medicine ward, was identified as having alternating hyperglycemia and hypoglycemia. The patient received insulin therapy 4 times a day sub-cutaneously. Nurses intervene, namely monitoring blood glucose closely. Things to consider regarding client monitoring
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- The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What are two important medication administration safety issues that the nurse will assess in the client?The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What data will the nurse gather to evaluate the effects of the ordered medications?The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What criteria will the nurse use to select printed educational materials for the clients use?
- Which statement by the client indicates the need for further teaching regarding amiodarone? I may have itching, malaise, and jaundice, but these symptoms will subside I need to use Sunblock to keep my skin from turning bluish grey I should not drink grapefruit juice while taking this medication I should report shortness of breath and stop taking the drug immediatelychoose one option only The nurse is receiving the medical record of an older adult client with a BMI of 17. Which of the following findings should the nurse identify as the risk factor for malnutrition? The client has a chronic obstructive pulmonary disease(COPD) The client has sensory hearing loss The client lives in a retirement community the client lives with a partnerAt 8am, 52 year old female (patient X) is admitted to the medical ward you are assigned in due to uncontrolled hyperglycemia and a mild edema on her feet. She was previously diagnosed with Diabetes Mellitus type II. She has history of diabetes, hypertension and heart disease. You are assigned to her during the 6am-2pm shift. The attending physician ordered Diabetic Diet, Metformin 500mg tablet TID and a sliding scale of insulin if blood sugar is above 200mg/dl. Blood sugar monitoring is ordered every four hours for the first 24 hrs. It is also ordered 1L of PNSS for 12 hours and insert Foley catheter and monitor urine output. You successfully started the infusion at 9am. Since Patient X has missed the morning dose of metformin, you immediately gave her the morning dose with 100ml of water, the 1 pm; you gave her another dose with again 100ml water after her lunch. At 10am, you drained her urine bag and got 105 ml output and again, you drained 150ml at 2pm prior to leaving your patient.…
- A patient is taking ibuprofen 400 mg every 4 hours to treat moderate arthritis pain and reports that it is less effective than before. What action will the nurse take? Counsel the patient to discuss a change in dose or changing to a prescription NSAID with the provider. Recommend adding aspirin to increase the antiinflammatory effect. Suggest asking the provider about a short course of corticosteroids. Tell the patient to increase the dose to 800 mg every 4 hours, to achieve the therapeutic effect of the drug. A patient who takes high-dose aspirin to treat rheumatoid arthritis has a serum salicylate level of 35 mg/dL. The nurse will perform which action? Assess the patient for signs of toxicity, such as tinnitus. Monitor the patient for signs of Reye’s syndrome. Notify the provider of severe aspirin toxicity. Request an order for an increased aspirin dose.A nurse is caring for 50 years old client who has visited the health care facility for a routine check up. The client has recently diagnosed with diabetis mellitus.A blood work reveals the glucose level is 140mg/dl. 1.What questions should the nurse ask when assessing the client? 2.What information regarding diabetis mellitus should a nurse provide to the clientClient was prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as needed for moderate to severe pain. Morphine is available in parenteral dose of 2mg/mL. How much medication should nurse draw up for administration? (patient weighs 140 lbs on admission)
- A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first? Encourage the client to dangle the legs while sitting in a chair Teach the client about foods low in sodium Determine medication adherence by the client Notify the provider of the client’s weight gainThe new graduate nurse would question the order for laxative administration in which of the following clients? (Select all that apply.)A 65-year-old male with ulcerative colitis who is having a hip replacement. A 24-year-old female with a distended abdomen who has not passed stool for three days and has just arrived at the emergency department. A 40-year-old female who uses opioids for chronic pain. An 18-year-old female trying to lose five more pounds for a beauty pageant. A 50-year-old male with chronic hemorrhoids who is having orthoscopic surgery.A 70 year old male patient was admitted 2 days ago to the geriatric unit for complaints of a UTI. The nurse doing rounds on her patient observed drowsiness, but was able to answer questions appropriately. The patient has a history of Addison's disease, discontinuation of IVF - NS 0.9%. The client is to be discharged home for 14 doses of Augmentin. 45 minutes after the patient was given her d/c instructions, the client begins to experience/exhibit the following: Drowsy and confused to place and situation Reports blurry vision Respirations equal and unlabored Vitals: T97 (oral), P88 (regular), R14, BP 98/44, SPO2 96% room air Skin is cool and diaphoretic Areas of skin hyperpigmentation Joint pain listed as a 2/10 Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this…