A 26-year-old male client is brought by his wife to the emergency department (ED) unconscious. Blood is drawn for a stat blood count (CBC), fasting blood sugar level, and electrolytes. An indwelling urinary catheter is inserted. He has a history of type 1 diabetes (insulindependent diabetes mellitus [IDDM]). A diagnosis of ketoacidosis is made. Stat lab values reveal a blood sugar level of 520 mg/dL. Which of the following should the nurse expect to administer in the ER?

• A.D50W by IV push
• B.NPH insulin SC
• C.Regular insulin by IV infusion
• D.Sweetened grape juice by mouth

Comment: *

Name: *

Email: *

Verification: *

A client's behavior is annoying other clients on the unit. He is meddling with their belongings and dominating the group. The best approach by the nurse is to:

• A.Seclude him in his room.
• B.Set limits on his behavior.
• C.Have his medication increased.
• D.Ignore him and tell the other clients that these behaviors are due to his illness and that they should understand.

Comment: *

Name: *

Email: *

Verification: *

A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-eight hours after the burn injury, the nurse must begin to monitor the child for which one of the following complications?

• A.Fluid volume deficit
• B.Fluid volume excess
• C.Decreased cardiac output
• D.Severe hypotension

Comment: *

Name: *

Email: *

Verification: *

A female client has experienced varying degrees of depression throughout her life. Now that she is postmenopausal, her depression has increased. She is unable to motivate herself to clean her house or even to get out of bed and get dressed in the morning. The client was begun on fluoxetine (Prozac) therapy. When educating her about fluoxetine, what might the nurse caution her about?

• A.A daily dose of fluoxetine may be taken in the morning or evening.
• B.Fluoxetine is not sedating; therefore, restrictions on driving and other hazardous activities are not necessary.
• C.Rashes or pruritus usually occur early in the therapy and are treatable without discontinuing the medication.
• D.It is safe to take over-the-counter or other prescription medications with fluoxetine.

Comment: *

Name: *

Email: *

Verification: *

In the coronary care unit, a client has developed multifocal premature ventricular contractions. The nurse should anticipate the administration of:

• A.Furosemide
• B.Nitroglycerin
• C.Lidocaine
• D.Digoxin

Comment: *

Name: *

Email: *

Verification: *