To assess the effectiveness of analgesia administered to a 6 year-child with intellectual disability which intervention should the nurse implement? 

(Swanson) ¼ of dogs with adrenal tumors have invasion of the tumor into the vena cava. On which side is caval invasion more likely to occur?

A client is using glargine (Lantus) and lispro (Humalog) to manage type 1 diabetes. The order for sliding scale insulin for lispro is as follows:             Blood glucose 70-150 mg/dL = 0 units                         151-200 mg/dL = 1 unit                         201-250 mg/dL = 2 units                         251-300 mg/dL = 3 units                         301-350 mg/dL = 4 units                         Call for blood glucose > 350 In addition, give 3 units for every carbohydrate.   The morning blood glucose is 258 mg/dL and the client is going to eat 3 carbohydrate exchanges. The nurse has the client administer how many units of lispro?  

The next 5 questions will use the following scenario: A 24 year old male client presents to the emergency room with complaint of severe weakness, fatigue, nausea and vomiting. He his skin turgor is poor. He reports increased thirst and frequency of urination over the past few days. BP is 92/42, heart rate 108, respiratory rate 26. Lab work was drawn and run. The results are as follows: Hemoglobin 14.1 g/dL, WBC 10.1/L, Potassium 5.3meq/L, Glucose  574mg/dL, Bun 32mg/dL, Creatinine 2.1 mg/dL, Sodium 132 meq/L, pH 7.2, Bicarb 17mEq/L, Ketones elevated; 4.2mmol/L. What should the nurse’s priority intervention be?

Patients with hyperglycemic hyperosmolar non-ketotic syndrome (HHNS) suffer from:

The client on an intensified insulin regimen consistently has a fasting blood glucose of 110mg/dL, a postprandial blood glucose level of 220 mg/dL, and a hemoglobin A1c level of 8.1%. What is the nurse’s interpretation of these findings?

A nurse is attending a morning meeting when the person seated next to her begins to sweat, tremble and complains of marked dizziness. The nurse notices a medical alert bracelet for diabetes.  What is the nurse’s best action?

A 24-year-old-male client in the above scenario weighs 165lbs. He has an IV line placed, and Normal Saline is infusing as ordered. He has an order for a 10 unit bolus dose of insulin followed by an insulin infusion to run at 7 units/hr, then titrate per algorithm 3. The insulin drip is 100mL of 0.9% Normal Saline with 100 units of insulin added. What rate will you set on the electronic IV infusion pump?

A client is newly diagnosed with Type 1 diabetes and hospitalized for treatment and blood glucose stabilization. She is being taught insulin administration and self monitoring of blood glucose levels.  What is the major benefit of self monitoring of blood glucose levels?

For which situation should the nurse suggest the pen-type injector insulin delivery system?