Blog

With insulin resistance the body can produce 5 to 8 times the normal amount of insulin produced. What is the estimated endogenous dose of insulin in someone with insulin resistance

You have a 64-year old male who has end stage chronic kidney disease who receives dialysis 3x a week and he has severe mitral stenosis valvular disease and atrial fibrillation. According to the American College of Cardiology and the American Heart Association what medication is recommended for him with a CHAD2-VASC Score of 2?

A nurse is monitoring a COPD client who is receiving 4 L/min of oxygen by nasal cannula. The client’s respiratory rate has decreased, and they are now harder to arouse, responding only to their name, the O2 sats are 98%. Which condition should the nurse suspect?

A client with acute anxiety and hyperventilation is breathing rapidly and reports tingling in their fingers and the following ABGs.   ABGs pH 7.50 PaCO₂ 30 mmHg HCO₃⁻ 24 mEq/L Which acid-base imbalance is this client experiencing? 

A client with a known thoracic aortic aneurysm suddenly reports intense chest pain described as “ripping,” becomes pale and sweaty, and their blood pressure drops from 138/82 to 84/50 mmHg. What is the nurse’s priority action?

The provider orders D5W IV for several clients. For which client should the nurse question this order?

A client presents to the clinic with a blood pressure of 168/94 mmHg and reports no acute symptoms. The provider diagnoses uncontrolled hypertension. Which medication would the nurse anticipate administering to treat the client’s elevated blood pressure?

A client tells the nurse, “My legs start hurting and feeling tight when I walk, but the pain stops when I sit down.” Which interpretation should the nurse use when assessing this finding?

The nurse notes that a client with COPD is in their usual tripod position, speaking in full sentences, and denies increased dyspnea or sputum changes. The client’s SpO₂ is 88% on 2 L/min, which is unchanged from the past 24 hours of vital signs.  Which action by the nurse is most appropriate

A client receiving high-dose opioids for postoperative pain becomes increasingly drowsy and reports a headache. The nurse notes shallow, slow respirations and decreased responsiveness. Which acid–base imbalance is this client most likely experiencing?