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NurseDive Free Nursing Practice Question
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
A. 32 units
B. 14 units
C. 28 units
D. 42 units
The nurse should prepare a total of 42 units in the insulin syringe, which is the sum of 14 units of regular insulin and 28 units of NPH insulin. Combining both types of insulin in one syringe is a common practice for clients who require multiple types of insulin, allowing for a single injection.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Nurs 150 Pediatric Final Proctored Exam 0924 Cohort. Take the full exam now
Full Explanation
The nurse should prepare a total of 42 units in the insulin syringe, which is the sum of 14 units of regular insulin and 28 units of NPH insulin. Combining both types of insulin in one syringe is a common practice for clients who require multiple types of insulin, allowing for a single injection.
Similar Questions
A nurse is caring for a 6-month-old infant. Which of the following findings indicates to the nurse that the infant may be experiencing pain?
A. Furrowed brow
Furrowed brow is a common sign of discomfort or pain in infants. When babies experience pain, they may frown or have a wrinkled forehead.
B. Eyes wide open
Infants may have wide-open eyes when they are in pain, as a response to the stress of the discomfort.
C. Decreased muscle tone
Decreased muscle tone is not be a direct indicator of pain. Sometimes, in response to pain, an infant's body might become limp due to exhaustion or as a protective response.
D. Dry palms and feet
Dry palms and feet are not typically associated with pain. Dryness of the skin in infants can be related to various factors, including environmental conditions and hydration levels. However, it is not a recognized sign of pain.
Full Explanation
A. Furrowed brow is a common sign of discomfort or pain in infants. When babies experience pain, they may frown or have a wrinkled forehead.
B. Infants may have wide-open eyes when they are in pain, as a response to the stress of the discomfort.
C. Decreased muscle tone is not be a direct indicator of pain. Sometimes, in response to pain, an infant's body might become limp due to exhaustion or as a protective response.
D. Dry palms and feet are not typically associated with pain. Dryness of the skin in infants can be related to various factors, including environmental conditions and hydration levels. However, it is not a recognized sign of pain.
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
A. A needleless syringe and a doll
A needleless syringe and a doll allow the child to role-play the experience of receiving an injection, which can help in understanding and coping with the procedure. It's a form of play therapy that can be particularly beneficial for children with medical conditions, as it helps them to process their experiences in a safe and controlled environment.
B. A story book about a child who has diabetes
Reading a story about another child with diabetes can provide comfort and a sense of relatability. It can also serve as an educational tool, helping the child to understand their condition and the importance of treatments like insulin injections.
C. A video game
While not directly related to diabetes or injections, playing a video game can be a good distraction technique. It can help the child to relax and take their mind off the distress associated with injections. However, it may not have the same therapeutic benefits in terms of processing the experience as the other options listed.
D. A period of play in the playroom
Free play in a playroom offers a variety of benefits, including the opportunity for the child to express themselves creatively, engage with others, and momentarily escape from the stress of medical treatments. It's a form of expressive therapy that can improve mood and reduce anxiety.
Full Explanation
A. A needleless syringe and a doll allow the child to role-play the experience of receiving an injection, which can help in understanding and coping with the procedure. It's a form of play therapy that can be particularly beneficial for children with medical conditions, as it helps them to process their experiences in a safe and controlled environment.
B. Reading a story about another child with diabetes can provide comfort and a sense of relatability. It can also serve as an educational tool, helping the child to understand their condition and the importance of treatments like insulin injections.
C. While not directly related to diabetes or injections, playing a video game can be a good distraction technique. It can help the child to relax and take their mind off the distress associated with injections. However, it may not have the same therapeutic benefits in terms of processing the experience as the other options listed.
D. Free play in a playroom offers a variety of benefits, including the opportunity for the child to express themselves creatively, engage with others, and momentarily escape from the stress of medical treatments. It's a form of expressive therapy that can improve mood and reduce anxiety.
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
A. Admit the client to a private room.
Admitting the client is necessary to prevent the spread of infection and provide a controlled environment for the child.
B. Measure head circumference every shift.
Measuring the head circumference is not typically necessary for bacterial meningitis as the sutures are closed raised intracranial pressure does not affect circumference.
C. Implement seizure precautions.
Seizures can be a complication of bacterial meningitis, so this intervention is important to ensure the child's safety.
D. Place the client in a semi-Fowler's position.
The semi-Fowler’s position helps to decrease ICP and facilitate breathing, which is crucial in the care of a child with bacterial meningitis.
Full Explanation
A. Admitting the client is necessary to prevent the spread of infection and provide a controlled environment for the child.
B. Measuring the head circumference is not typically necessary for bacterial meningitis as the sutures are closed raised intracranial pressure does not affect circumference.
C. Seizures can be a complication of bacterial meningitis, so this intervention is important to ensure the child's safety.
D. The semi-Fowler’s position helps to decrease ICP and facilitate breathing, which is crucial in the care of a child with bacterial meningitis.