Ms. Hart wrote a post card to her Japanese friend, Mr. Tanaka, who currently lives in the U.S. Read the letter and answer the following questions. (4) Useful words: おひさしぶりです: Long time no see, お城(しろ): castle, ヘビ: snake   田中さんへ、 　おひさしぶりです。今、沖縄(おきなわ)にいます。ここはちょっと暑(あつ)いですが、とてもてんきがいいです。沖縄(おきなわ)の町(まち)はとてもきれいですよ！ 　昨日(きのう)、沖縄(おきなわ)のお城(しろ)をみました。とても大(おお)きかったです。それから、海(うみ)と川で写真(しゃしん)をとりました。 　今日は、まちで沖縄(おきなわ)の古(ふる)い音楽(おんがく)を聞(き)きました。とてもいい音楽(おんがく)でした。田中さんのおみやげにそのCDを買(か)いました。 　あ、それから、ヘビのお酒(さけ)ものみました！ちょっとこわかったです。 　Zoomでたくさん話(はな)しましょう。じゃあ、また！ 　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　メアリー・ハート    a. Okinawa is very beautiful and the weather is very good. [a] b. Ms. Hart took many pictures at the castle and the river. [b] c. Ms. Hart enjoyed Okinawan music in town. [c] d. Ms. Hart bought a snake sake for Mr. Tanaka. [d]

A young man was burned in an explosion. His face, chest, abdomen, and both arms received 2nd and 3rd degree burns. What percentage of his body received burns? Follow the Parkland Burn rounding rules to the nearest whole number. 

What time of day, for a client taking insulin, is best for the client to exercise?

A nurse in the emergency department (ED) is admitting a client who has Type 1 diabetes mellitus. For each potential provider’s prescription, click to specify if the prescription is anticipated, nonessential, or contraindicated. 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 Nurse’s Notes: 1400 Client reports increased glucose levels and “feeling really bad.” States, “I think I may have given myself the wrong dose 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. Fruity odor noted to 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: 570 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)

An insulin infusion suddenly and rapidly infuses. The blood sugar dropped from 500 mg/dl to 200 mg/dl in one hour. What manifestations will the client most likely exhibit?

Select the initial nursing measure which would comply with the American Diabetes Association’s recommendation to treat a mild hypoglycemic response:

Following a trial ADA diet of 1500 calories, the fasting blood glucose levels remains above 180 mg/dl. Metformin 500mg, PO is started. The diagnosis is Type 2 Diabetes. What are the actions of Metformin?

The night nurse received report from the evening nurse on the assigned clients. Which client will the nurse determine as highest priority?

Which of the following does the nurse recognize as an early indicator of nephropathy?

When comparing Hyperosmolar Hyperglycemic Syndrome (HHS) to Diabetic Ketoacidosis (DKA), what clinical manifestation is most characteristically associated with HHS?