{"id":136110,"date":"2024-09-10T06:39:14","date_gmt":"2024-09-10T06:39:14","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136110"},"modified":"2024-09-10T06:39:16","modified_gmt":"2024-09-10T06:39:16","slug":"the-client-is-a-26-year-old-female-with-acute-appendicitis-she-has-a-12-year-history-of-type-1-diabetes-and-no-other-significant-medical-history","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/the-client-is-a-26-year-old-female-with-acute-appendicitis-she-has-a-12-year-history-of-type-1-diabetes-and-no-other-significant-medical-history\/","title":{"rendered":"The client is a 26-year-old female with acute appendicitis. She has a 12-year history of type 1 diabetes and no other significant medical history"},"content":{"rendered":"\n

The client is a 26-year-old female with acute appendicitis. She has a 12-year history of type 1 diabetes and no other significant medical history. The appendectomy was completed without Issue, and the client will be admitted to the surgical floor to recover.<\/p>\n\n\n\n

The PN prepares to give 2 units of Insulin lispro.<\/p>\n\n\n\n

What should the PN double-check with a second nurse?<\/p>\n\n\n\n

Select all that apply.<\/p>\n\n\n\n

A.
The sliding scale insulin lispro order<\/p>\n\n\n\n

B.
The type of insulin to be administered<\/p>\n\n\n\n

C.
The insulin vial for color and clarity<\/p>\n\n\n\n

D.
The dose of insulin drawn up in the syringe<\/p>\n\n\n\n

E.
The expiration date on the insulin vial<\/p>\n\n\n\n

F.
The history and physical with the diabetes diagnosis listed<\/p>\n\n\n\n

G.
The insulin concentration<\/p>\n\n\n\n

H.
The site for the insulin administration<\/p>\n\n\n\n

The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

For administering insulin, especially in the context of a client with type 1 diabetes who has just undergone surgery, it\u2019s critical to ensure accuracy and safety. The PN (Practical Nurse) should double-check the following with a second nurse:<\/p>\n\n\n\n

B. The type of insulin to be administered<\/strong><\/p>\n\n\n\n

D. The dose of insulin drawn up in the syringe<\/strong><\/p>\n\n\n\n

E. The expiration date on the insulin vial<\/strong><\/p>\n\n\n\n

G. The insulin concentration<\/strong><\/p>\n\n\n\n

Here\u2019s a detailed explanation:<\/p>\n\n\n\n

    \n
  1. Type of Insulin (B)<\/strong>: Insulin lispro is a rapid-acting insulin used to manage blood glucose levels. It’s crucial to confirm the type of insulin to ensure it matches the prescribed medication. Administering the wrong type could lead to either hyperglycemia or hypoglycemia, which could be dangerous for the patient, particularly after surgery.<\/li>\n\n\n\n
  2. Dose of Insulin (D)<\/strong>: Verifying the dose of insulin drawn up in the syringe is vital. Administering the incorrect dose can have serious consequences for blood glucose control. For a patient with type 1 diabetes, precise dosing is essential for managing their blood glucose levels effectively, especially in the postoperative period where stress and changes in routine can affect blood glucose levels.<\/li>\n\n\n\n
  3. Expiration Date (E)<\/strong>: Insulin vials have expiration dates to ensure the medication’s efficacy. Administering expired insulin can lead to ineffective glucose control and potential complications. Checking the expiration date helps ensure that the medication being administered is safe and effective.<\/li>\n\n\n\n
  4. Insulin Concentration (G)<\/strong>: Insulin concentration (e.g., U-100) determines how much insulin is delivered per unit of volume. Ensuring that the concentration matches the prescribed insulin is critical for correct dosing. An error in concentration could lead to administering too much or too little insulin.<\/li>\n<\/ol>\n\n\n\n

    The other options, while important for overall medication safety, are not typically part of the double-check process:<\/p>\n\n\n\n

      \n
    • A. Sliding Scale Insulin Lispro Order<\/strong>: While important for ensuring the patient receives the correct dose based on their blood glucose levels, this is typically verified during the initial medication administration process rather than the double-check process.<\/li>\n\n\n\n
    • C. Insulin Vial for Color and Clarity<\/strong>: Checking the insulin vial for color and clarity is standard practice but not typically part of the double-check process with another nurse.<\/li>\n\n\n\n
    • F. History and Physical with Diabetes Diagnosis<\/strong>: This is not directly related to the immediate insulin administration check but rather part of the overall patient assessment and care plan.<\/li>\n\n\n\n
    • H. Site for Insulin Administration<\/strong>: While important for the injection site, it’s not typically part of the double-check process related to insulin preparation and administration.<\/li>\n<\/ul>\n\n\n\n

      By focusing on these aspects, the PN helps to ensure the safe and accurate administration of insulin, minimizing the risk of errors and ensuring effective blood glucose management for the patient.<\/p>\n","protected":false},"excerpt":{"rendered":"

      The client is a 26-year-old female with acute appendicitis. She has a 12-year history of type 1 diabetes and no other significant medical history. The appendectomy was completed without Issue, and the client will be admitted to the surgical floor to recover. The PN prepares to give 2 units of Insulin lispro. What should the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136110","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136110","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136110"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136110\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136110"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136110"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}