NU473 Week 5: Evolve Elsevier EAQ Diabetes - 26 Questions Already Graded A+

NU473 Week 5: Evolve Elsevier EAQ Diabetes - 26 Questions Already Graded A+ Instructions for Self-Administering Insulin with an Insulin Pen Select all that apply: 1. Prime the needle with two units. - Rationale: Priming the needle removes any air and ensures accurate dosing. 2. Use a 29-gauge insulin needle. - Rationale: A 29-gauge needle is appropriate for subcutaneous insulin injections as it is thin enough to minimize discomfort while allowing effective delivery of insulin. 3. Give the injection at a 45-degree angle. - Rationale: For a thinner patient, administering the injection at a 45-degree angle can help ensure that the insulin is delivered into the subcutaneous tissue rather than the muscle. 4. Refrain from recapping the needle. - Rationale: Recapping needles can lead to accidental needle sticks and potential exposure to bloodborne pathogens. 5. Dial the pen to deliver the unit dose. - Rationale: This step is essential to ensure that the correct dose of insulin is administered. Considering all the options, the correct instructions would be: - Prime the needle with two units. - Use a 29-gauge insulin needle. - Give the injection at a 45-degree angle. - Refrain from recapping the needle. - Dial the pen to deliver the unit dose. Symptoms of Hypoglycemia (Blood Glucose Level of 55 mg/dL) Select all that apply: 1. Cold, clammy skin. - Rationale: Cold, clammy skin is a classic sign of hypoglycemia due to adrenergic responses. The symptoms related to hypoglycemia: - Cold, clammy skin Symptoms Not Related to Hypoglycemia: - Increased thirst (associated with hyperglycemia) - Abdominal pain (not a typical hypoglycemia symptom) - Frequent urination (associated with hyperglycemia) - 3+ glucose in urinalysis (indicative of hyperglycemia) Recognizing Signs of Hypoglycemic Reaction Select all that apply: 1. Fatigue - Rationale: Fatigue can occur due to inadequate glucose for energy. 2. Weakness - Rationale: Weakness results from decreased glucose availability for the central nervous system. 3. Nervousness - Rationale: Increased adrenergic activity and catecholamine release lead to feelings of anxiety and nervousness in hypoglycemia. 4. Increased perspiration - Rationale: Increased perspiration is a symptom of adrenergic stimulation associated with hypoglycemia. The symptoms indicating effective teaching would be: - Fatigue - Weakness - Nervousness - Increased perspiration Reporting Significant Findings Before CT with Contrast - The client reports an allergy to gadolinium. (Important to clarify because while CT contrast is typically iodine-based, it is critical to document known allergies.) - A client takes metformin daily. - Rationale: Metformin can lead to lactic acidosis if kidney function is affected by the contrast; this is a crucial detail to report to the healthcare provider. Management of the Somogyi Effect in Type 1 Diabetes - Collaborate with the primary healthcare provider to alter the insulin prescription. - Rationale: The Somogyi effect indicates that the client is experiencing rebound hyperglycemia after nocturnal hypoglycemia, suggesting that an adjustment in the insulin regimen may be necessary to prevent these fluctuations. When dealing with a client’s hypoglycemia, giving orange juice would only further increase the blood glucose, so it is not an appropriate intervention in this specific scenario.