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A post-operative client is on subcutaneous insulin per sliding scale as follows:Novolog (Lispro) per glucose reading: Blood Glucose Level Insulin Units Below 130 0 units 131-180 2 units 181-220 4 units 221-260 6 units 261-300 8 units Above 300 Call provider    There is also an order for novolog (Lispro) sliding scale insulin based on a carbohydrate count:Give 1 unit for every 15 grams of carbohydrates consumed. This morning’s blood glucose reading was 188 mg/dL before breakfast and the client consumed 45 grams carbohydrates with their meal. (Normal value range: fasting glucose 74-106 mg/dL)  Calculate how many units of insulin the nurse will administer to this client. 

A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client.  Which of the following statements should the nurse make regarding cardiac enzymes studies?

The nurse assesses a client with heart block who has a heart rate of 35 beats per minute.  Which assessment should the nurse complete first?

A nurse is providing discharge instructions for a client who has heart failure.  Which of the following client statements indicates to the nurse that the teaching was effective?

A client is admitted to the hospital with a two day history of abdominal pain and severe diarrhea.  Which arterial blood gas (ABG) value should the nurse expect to see with this client? (Normal value ranges: pH 7.35-7.45, pCO2 35-45 mm Hg, HCO3 21-28 mEq/L, PaO2 80-100 mm Hg)

The nurse is caring for a client who has a sodium level of 128 mEq/L.  As part of the care, which of the following should the nurse restrict? (Normal value range: sodium 136-145 mEq/L)

In order to support the efforts of the body to compensate for a metabolic acidosis, which of the following would be a priority nursing intervention?

The student nurse is caring for a client in sickle cell crisis.  Which action by the student nurse warrants intervention by the supervising nurse?

A client diagnosed with non-Hodgkin’s lymphoma is staged as IIB.  Which of the following would the nurse expect the client to exhibit?

A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect?