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. 

The nurse is caring for a client in sickle cell crisis.  What are priority interventions for this client?  Select all that apply.

A nurse is caring for a client who reports a new onset of severe chest pain.  Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

The nurse assesses a client with tachycardia.  Which clinical manifestation requires immediate intervention by the nurse?

Patient-controlled analgesia (PCA) is acceptable for use if a child is able to:

The nurse is assessing a 22-year-old client experiencing the onset of symptoms of type 1 diabetes. Which question is most appropriate for the nurse to ask?

The client is prescribed to use an oxycodone-acetaminophen (Tylox) at home daily for chronic pain management.  What instructions should the nurse give this client?

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 diagnosis of respiratory acidosis secondary to an overdose of barbiturates.  Which assessment finding would the nurse anticipate?

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?