NUR 2474 Pharmacology Final Exam ( A+ grade with ready accurate solutions)

The nurse working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just admitted. Which patient should the nurse assess first? a.The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of 70/30 Novolin insulin b.The patient with a pulse of 58 beats per minute who is about to receive digoxin (Lanoxin) c.The patient with a blood pressure of 136/92 mm Hg who complains of having a headache d.The patient with an allergy to penicillin who is receiving an infusion of vancomycin (Vancocin) - ANSa.The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of 70/30 Novolin insulin A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on a sliding scale and are ordered before a meal and at bedtime. The patient's blood sugar level is 317 mg/dL. Which formulation of insulin should the nurse prepare to administer? a.No insulin should be administered. b.NPH c.70/30 mix d.Lispro (Humalog) - ANSd.Lispro (Humalog) A patient with type 1 diabetes recently became pregnant. The nurse plans a blood glucose testing schedule for her. What is the recommended monitoring schedule? a.Before each meal and before bed b.In the morning for a fasting level and at 4 PM for the peak level c.Six or seven times a day d.Three times a day, along with urine glucose testing - ANSc.Six or seven times a day An adolescent patient recently attended a health fair and had a serum glucose test. The patient telephones the nurse and says, "My level was 125 mg/dL. Does that mean I have diabetes?" What is the nurse's most accurate response? a."Unless you were fasting for longer than 8 hours, this does not necessarily mean you have diabetes." b."At this level, you probably have diabetes. You will need an oral glucose tolerance test this week." c."This level is conclusive evidence that you have diabetes." d."This level is conclusive evidence that you do not have diabetes." - ANSa."Unless you were fasting for longer than 8 hours, this does not necessarily mean you have diabetes."