Blog

A 26-yr-old female who has type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and reports a glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. Which action would the nurse advise the patient to take?

The nurse has administered 4 oz of orange juice to an alert patient whose glucose was 62 mg/dL. Fifteen minutes later, the glucose is 67 mg/dL. Which action would the nurse take next?

A patient who has diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse explain for mealtime coverage?

A patient was admitted to the med-surg unit late last night after an unwitnessed ground level fall. You were given a report that he has a history of dementia, DM2, HTN, and CAD. He takes a daily aspirin, a statin, a beta blocker, an ACE inhibitor, and metformin. He is scheduled to have a head CT scan to assess for injuries within a few hours. Which of the following orders would you question? 

The spouse of an alcoholic asks the nurse how to respond to them in a helpful way when they are disruptive in family life. Which of the following is the nurse’s best response?

The nurse suspects a unlicensed assistive personnel (UAP) is intoxicated. What is the nurse’s first response to the situation?

Convert the following instruction to machine code: sub $t1, $t2, $t3 Given that the opcode is 0, the function code is 34 and the registers are mapped as follows: $t0 01000 $t1 01001 $t2 01010 $t3 01011 $t4 01100 $t5 01101 $t6 01110 Input only the 32bits binary number with no spaces in the blank

Select the correct answer: A 61-year-old adult with a 9-year history of type 2 diabetes  and hyperlipidemia presents for diabetes follow-up.  The patient is prescribed metformin (Glucophage),  dapagliflozin (Farxiga), and simvastatin (Zocor). The patient is allergic to sulfa.  The patient’s  A1c in clinic is 8.3%. No logs are brought to the clinic appointment, but the patient reports fasting glucoses of 160-175 mg/dL. Most recent eye exam was 4 months ago. Vitals: B/P 128/83; pulse 75; respiration 16; weight 202 height 68 inches BMI 30.7. Physical exam is unremarkable.  The primary care nurse practitioner refers the patient to diabetes self-management.  What additoinal interventions should be incorporated into the clinical management plan at this time?

Select the correct answer: The primary care nurse practitioner is completing a first visit with a 58-year-old adult who experienced a 3 year lapse in healthcare. During the course of the visit, the patient reports a prior history of “Barrett’s esophagus”.  What is an appropriate plan for this patient to address this finding?

Select the correct answer:    A 48-year-old male smoker presents for an annual wellness visit. The patient has no current complaints and is seeking follow-up for existing health concerns. Past medical history is positive for 3-year history of hypertension and prediabetes. The patient has no known allergies. Current medications include: amlodipine (Norvasc) 10 mg daily hydrochlorothiazide 12.5 mg daily Vitals recorded during the course of the visit include: B/P 138/84; Pulse73: respiration 14; Weight 223 lb. Height 72 inches; BMI 30.2 Physical exam is unremarkable.  Labs obtained one-week prior to the current visit include: Chemistry (fasting): Glucose            115 mg/dL Sodium             140 mEq/L Potassium         4.3 mEq/L Chloride             96 mEq/L BUN                   12 mg/dL Creatinine           1.1 mg/dL eGFR                    98 mL/min A1c                     5.8% Lipid panel (fasting) Lipid Panel (fasting) Total cholesterol          222 mg/dL LDL                               128 mg/dL HDL                               44 mg/dL Triglyceride                   251 mg/dL Ratio                               3.8 The calculated 10-year risk for atherosclerotic cardiovascular disease (ASCVD) is 5.8%. In addition to providing cardiovascular lifestyle education (smoking cessation and exercise prescription), which of the following interventions should be included in this patient’s management plan?