Two hours after receiving rapid-acting insulin, a client’s meal has not arrived. During reassessment, the client asks when breakfast will arrive, reports hunger, has a damp gown and visibly shaking hands, and gives newly incorrect answers to orientation questions. Which observation requires immediate follow-up?

A client with type 2 diabetes is scheduled to receive metformin. The client has had vomiting and poor intake for 24 hours, serum creatinine has increased from 0.9 to 1.8 mg/dL, and a contrast-enhanced CT is scheduled this morning. Which action should the nurse take?

A client with type 2 diabetes has blood glucose 720 mg/dL, serum osmolality 342 mOsm/kg, heart rate 118/min, blood pressure 92/58 mm Hg, dry mucous membranes, urine output 20 mL/hr, increasing confusion, trace serum ketones, pH 7.36, and bicarbonate 22 mEq/L. Which interpretation should the nurse prioritize?

A client with type 1 diabetes has gastroenteritis, cannot tolerate solid food, has glucose readings of 250 to 290 mg/dL, and has moderate urine ketones. The client lives 45 minutes from the clinic and has limited transportation. Which teaching plan is most appropriate?

You are obtaining a history from your pregnant client. She tells you that she had a miscarriage with the first pregnancy at 11 weeks gestation, and then she delivered a premature son at 34 weeks gestation. How would the nurse summarize the client’s OB history? (Please answer like the following: G6P4) [BLANK-1]

A 32-year-old female presents to the emergency department with acute onset of lower abdominal pain with associated vaginal bleeding. The patient states her last menstrual period was 6 weeks ago. She took a home pregnancy test that was positive. She has not yet followed up with her OBGYN. Her vital signs are normal and there is no abdominal tenderness. Her pelvic examination showed a closed cervical os, mild vaginal bleeding with no abdominal fullness or tenderness. The patient had a transvaginal ultrasound performed and it showed a fetus with a fetal heart rate of 150. What is the correct diagnosis of this patient?

The US Census Bureau releases a public dataset following each census and survey conducted. The Census Bureau estimates that a majority of Americans can be uniquely identified using census data. So, the Census Bureau protects individual information by anonymizing datasets before public release.Which of the following changes is an example of data shifting?

A parish nurse has built strong rapport with a congregation and is planning a series of health screenings using the church’s fellowship hall. The pastor offers to personally encourage attendance by telling congregants that “the nurse’s screenings are part of living out our faith’s call to care for the body.” The nurse appreciates the support but feels some hesitation about how the message is framed. What is the most appropriate professional response?

A nurse has $50,000 in discretionary funding to improve five-year health outcomes in an underserved zip code. Rank the following interventions from most to least likely to improve population-level outcomes, based on the evidence about determinants of health.

Match each action to its Essential Public Health Service: Assess & Monitor, Investigate Health Hazards, Communicate & Educate, Strengthen Community Partnerships, Policy/Enforcement & Equity, or Evaluate & Build Workforce.