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A nurse is educating a patient with diabetes who has been prescribed insulin glargine. What information should the nurse provide about this type of insulin?,What information should be provided about insulin glargine?
- A. Insulin glargine lasts for 3 to 6 hours.
- B. Insulin glargine lasts for 18 to 24 hours.
- C. Insulin glargine lasts for 16 to 24 hours.
- D. Insulin glargine lasts for 6 to 10 hours.
Correct Answer: B,C
Rationale: The correct answer is B and C. Insulin glargine is a long-acting insulin that provides a basal level of insulin over an extended period. Option B states that it lasts for 18 to 24 hours, which is accurate as it mimics the body's natural basal insulin secretion. Option C also mentions 16 to 24 hours, which is within the range of the duration of action for insulin glargine. Option A stating 3 to 6 hours is incorrect as it does not reflect the long-acting nature of insulin glargine. Option D stating 6 to 10 hours is also incorrect as it underestimates the duration. It is important for the nurse to emphasize the prolonged action of insulin glargine to ensure proper understanding and management by the patient.
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A nurse is evaluating a patient who is suffering from prostatic hypertrophy. What symptoms associated with urinary retention should the nurse anticipate? What symptoms of urinary retention should the nurse anticipate?
- A. Sensation of pressure
- B. Dysuria
- C. Bladder distension
- D. Tenderness over the symphysis pubis
Correct Answer: A,B,C,D
Rationale: The correct answer includes symptoms associated with urinary retention in a patient with prostatic hypertrophy. A: Sensation of pressure is expected due to the bladder being unable to empty completely. B: Dysuria can occur as the bladder becomes overfilled. C: Bladder distension is a common symptom as the bladder fills up but cannot empty fully. D: Tenderness over the symphysis pubis may be present due to the pressure on surrounding structures. Other choices are incorrect as they do not directly relate to urinary retention symptoms in this context.
A nurse plans to leave her scheduled shift an hour early without permission or notification of the charge nurse. The patients in her assignment are stable. Which of the following legal torts applies to this situation? Which legal tort applies to leaving shift early without permission?
- A. Negligence
- B. Battery
- C. Slander
- D. Libel
Correct Answer: A
Rationale: The correct answer is A: Negligence. Leaving the shift early without permission constitutes negligence as it is a breach of the duty of care owed to the patients. The nurse has a legal responsibility to provide care for the patients until properly relieved. The other choices, Battery, Slander, and Libel, do not apply in this scenario. Battery involves intentional harmful or offensive contact without consent, Slander involves spoken defamation, and Libel involves written defamation. In this case, the nurse's actions do not align with the elements of these torts.
A nurse is caring for a patient who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? Which lab value should the nurse report during chemotherapy?
- A. Hemoglobin 12 g/dL
- B. Platelet count 50,000/mm3
- C. WBC 8,000/mm3
- D. Serum creatinine 1.0 mg/dL
Correct Answer: B
Rationale: The correct answer is B: Platelet count 50,000/mm3. During chemotherapy, patients are at risk for developing thrombocytopenia, a condition characterized by low platelet count. Thrombocytopenia can lead to increased risk of bleeding and bruising. Therefore, a platelet count of 50,000/mm3 is concerning and should be reported to the provider for further evaluation and management.
A: Hemoglobin of 12 g/dL is within normal range and not typically a concern during chemotherapy.
C: WBC count of 8,000/mm3 is within normal range and may not be a priority during chemotherapy unless there are other concerning symptoms.
D: Serum creatinine of 1.0 mg/dL is within normal range and not directly related to chemotherapy effects on the patient's blood counts.
A nurse is caring for a patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider? Which finding should the nurse report during bladder irrigation?
- A. Urine output of 200 mL/hr
- B. Pink-tinged urine
- C. Clots in the drainage bag
- D. Bladder spasms
Correct Answer: C
Rationale: The correct answer is C: Clots in the drainage bag. This finding should be reported to the provider because it may indicate bleeding or clot formation, which can obstruct the catheter and impair the irrigation process. Clots can also increase the risk of urinary retention or infection. Reporting this finding promptly allows the provider to assess the patient's condition and take appropriate interventions to prevent complications.
Incorrect choices:
A: Urine output of 200 mL/hr is within the expected range for continuous bladder irrigation and does not necessarily indicate a problem.
B: Pink-tinged urine is a common finding following prostate surgery and is expected during bladder irrigation.
D: Bladder spasms are common after prostate surgery and can be managed with appropriate medications.
E, F, G: These choices are not provided, but they would be incorrect as they are not related to complications of bladder irrigation post-prostate surgery.
A nurse in a coronary care unit is admitting a patient who has had CPR following a cardiac arrest. The patient is receiving lidocaine IV at 2 mg/min. When the patient asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions? Why is the patient receiving lidocaine?
- A. Relieves pain.
- B. Slows intestinal motility.
- C. Dissolves blood clots.
- D. Prevents dysrhythmias.
Correct Answer: D
Rationale: The patient is receiving lidocaine to prevent dysrhythmias after experiencing a cardiac arrest. Lidocaine is a class IB antiarrhythmic drug that stabilizes the cardiac cell membrane, reducing the likelihood of abnormal electrical activity and dysrhythmias. It does not relieve pain, slow intestinal motility, or dissolve blood clots. Therefore, the correct answer is D, as it directly addresses the purpose of administering lidocaine in this specific clinical scenario.