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1. Which instruction would o Prime the needle with two units.
the nurse provide to a 6' o Use a 29-gauge insulin needle.
0", 160-pound client new- o Give the injection at 45-degree angle.
ly diagnosed with type 1 o Refrain from recapping the needle.
diabetes who wants to o Dial the pen to deliver the unit dose.
self-administer injections · The nurse should instruct the client to prime the needle with two
with an insulin pen? Select units of insulin to remove air from the needle. Insulin needles range
all that apply. between 28 and 31 gauge, and a 29-gauge insulin needle would be
o Prime the needle with appropriate to use. Thin clients (such as a 6' 0" client who weighs
two units. 160 pounds) should be instructed to administer the injection at a
o Use a 29-gauge insulin 45-degree angle. Clients are advised not to recap needles to prevent
needle. accidental needlestick injuries. Clients would dial the pen to deliver
o Give the injection at the prescribed unit dose.
45-degree angle.
o Refrain from recapping
the needle.
o Dial the pen to deliver
the unit dose.
2. Which sign or symptom o Cold, clammy skin
would the nurse expect to · A client with a blood glucose level of 55 mg/dL indicates hypo-
find on assessment of a glycemia. Clinical manifestations would include cold, clammy skin;
client with a blood glucose tachycardia; nervousness; and slurred speech. A client with hyper-
level of 55 mg/dL? Select glycemia would present with increased thirst (polydipsia), abdominal
all that apply. pain, increased urination (polyuria), and polyphagia. The client with
o Increased thirst hyperglycemia would have glycosuria.
o Abdominal pain
o Frequent urination
o Cold, clammy skin
o 3+ glucose in urinalysis
3.
, NU473 Week 5: Evolve Elsevier EAQ Diabetes - 26 Questions
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A client is taught how to o Fatigue
recognize signs of a hypo- o Weakness
glycemic reaction. Which o Nervousness
symptoms identified by o Increased perspiration
the client indicate to the · Fatigue is related to hypoglycemia. Weakness is related to a de-
nurse that the teaching crease in glucose within the central nervous system. Nervousness
was effective? Select all is caused by increased adrenergic activity and increased secretion
that apply. of catecholamines. Increased perspiration is related to increased
o Fatigue adrenergic activity and increased secretion of catecholamines. Nau-
o Nausea sea is related to hyperglycemia, not hypoglycemia. Increased thirst
o Weakness with an excessive oral fluid intake (polydipsia) is associated with
o Nervousness hyperglycemia and is one of the cardinal signs of diabetes mellitus.
o Increased thirst
o Increased perspiration
4. A client is scheduled for o The client takes metformin daily.
a computed tomography · A CT often requires a contrast agent to be administered. The con-
(CT) of the brain with trast agent can cause temporary changes in kidney function. This
contrast. The nurse re- change in kidney function can cause clients on metformin to have
views the client's medical an increased risk of developing a serious side effect called lactic
record before the start of acidosis. Nothing by mouth (NPO) status is not required for a brain
the procedure. The nurse CT; however, clients may be instructed to be NPO for a CT of the
would report which signif- abdomen or chest. Magnetic resonance imaging contrast contains
icant finding to the pri- gadolinium; contrast for CT scans contains iodine. Clients typically do
mary healthcare provider not receive sedation for this diagnostic procedure.o The client takes
before the test is per- metformin daily.
formed?
o The client takes met-
formin daily.
o The client consumed a
meal 1 hour before the
scheduled test.