NCLEX Study Questions

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Module 10 Practice Questions: Antid...

14 terms rachel_k__predieri P Preview Communication and the Hearing Im...10 terms AshfillPreview PEDS Final 220 terms an3jn16Preview PN Adu 90 terms kgo A client diagnosed with diabetes mellitus has a blood glucose of 175 this morning. After the nurse reports this lab result along with the client's findings of being hungry and thirsty, what type of insulin should the nurse expect the health care provider to order?Humulin-R insulin Of these choices, the best answer is to administer the short-acting Humulin-R or regular insulin; this insulin will begin to work in about 30 minutes. The client should wait to eat breakfast so that the insulin can begin working. Never mix insulin glargine (Lantus), which is a long-acting insulin, with any other kind of insulin. NPH is an intermediate-acting insulin and would not provide the needed quick response.The oncology nurse is preparing to administer the initial dose of vincristine to a child diagnosed with acute lymphocytic leukemia (ALL). Which intervention is most appropriate to add to the plan of care? (Select all that apply.) Monitor liver enzyme tests Monitor for numbness or tingling in the fingers and toes Verify blood return before, during and after intravenous administration ALL is the most common type of cancer in children and treatment protocols include vincristine. Vincristine (Oncovin) is for intravenous use only; intrathecal administration can be fatal. Vincristine is a vesicant that can cause significant local damage if extravasation occurs; treatment includes subcutaneous injection of an antidote and warm compresses (topical cooling may worsen the effect). Peripheral neuropathy is a major side effect associated with vincristine. The nurse should monitor for decreased hepatic functioning because vincristine is metabolized in the liver.

Isotonic fluids nursing considerations 0.9% Nacl RInger's Solution Lactated Ringer's Macrodrip vs. microdrip Maintain sterile technique Monitor flow rate Assess for infiltration Assess for phlebitis Change tubing/bag per your organization's policy hypotonic solution nursing considerations Solute concentration is less than that inside the cell; cell gains water 0.45% NaCl hypertonic solution Solute concentration is greater than that inside the cell; cell loses water 10-15% dextrose in water or NaCl Sodium bicarbonate 5% Terms (5) Hide definitions