A client newly diagnosed with diabetes mellitus is instructe…
A client newly diagnosed with diabetes mellitus is instructed by the provider to obtain glucagon IM for rescue home use. During the inital visit, the client asks the home care nurse about the purpose of this medication. The nurse’s best response to the client’s question is what?
Read DetailsA nurse in the emergency department (ED) is admitting a clie…
A nurse in the emergency department (ED) is admitting a client who has Type 1 diabetes mellitus. Vital Signs 1400: Temperature: 37.2° C (99° F); Heart rate: 128/min; Respiratory rate: 30/min; Blood pressure: 98/58 mm Hg; SpO2 saturation: 89% on room air Nurses’ Notes 1400: The client reports “increased glucose levels” on their home glucometer and “feeling really bad.” States, “I think I may not have given myself the right amount of insulin.”; Oriented to person, place, and time; appears lethargic.; Skin is warm and moist. Decreased turgor. Dry mucous membranes.; Pulse is rapid, S1S2 heard on auscultation.; Respirations deep and rapid. A fruity odor was noted on their breath.; Chest is clear on auscultation.; Bowel sounds auscultated in 4 quadrants. Reports anorexia and abdominal pain.; Reports frequent urination with no difficulty. Diagnostic Results 1430: Sodium: 130 mEq/L (136 to 145 mEq/L); Potassium: 5.4 mEq/L (3.5 to 5 mEq/L); Glucose: 670 mg/dL (74 to 106 mg/dL); BUN: 22 mg/dL (10 to 20 mg/dL); Creatinine: 1 mg/dL (0.5 to 1 mg/dL) For each potential provider’s INITIAL orders, specify if the prescription is: (1) anticipated or (2) not indicated A) Obtain ABG B) Obtain urinalysis for ketones. C) Cardiac monitoring D) Chest X-ray E) Infuse D5½ sodium chloride @ 100 mL/hr. F) Obtain capillary blood glucose every hr. G) CT scan of the head
Read DetailsA nurse is caring for a client with type 1 diabetes mellitus…
A nurse is caring for a client with type 1 diabetes mellitus who is alert and oriented, reports feeling shaky, and is having palpitations. The nurse checks the client’s blood glucose, and it is found to be 56 mg/dL. Which food should the nurse offer to the client to assist with their hypoglycemia?
Read DetailsA nurse is caring for an adolescent client who has a long hi…
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on their breath. The nurse suspects the client has diabetic ketoacidosis. The nurse would anticipate using which of the following types of insulin to treat this client?
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