Tutor profile: Cleaya A.

17. A client with an arteriovenous fistula in the left arm and who is undergoing hemodialysis is at risk for infection. Which should the nurse formulate as the best outcome goal for this client problem? a. The patient washes hands at least once per day. b. The patient’s temperature remains lower than 101 F. c. The patient avoids BP measurements in the left arm. d. The patients WBCs remains within the normal limits.

d. The patients WBCs remains within the normal limits.

The home health nurse visits a patient with a diagnosis of type 1 diabetes mellitus. The patient relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the patient indicates a need for further teaching? a. I need to stop my insulin. b. I need to increase my fluid intake. c. I need to monitor my blood glucose level every 3 to 4 hours. d. I need to call the healthcare provider because of these symptoms.

a. I need to stop my insulin.

A patient is admitted to a hospital with a diagnosis of DKA. The initial blood glucose level was 950 mg/dL. A continuous intravenous infusion of short-acting insulin is initiated, along with intravenous rehydration with normal saline. The serum glucose is now 240 mg/dL. The nurse would next prepare to administer which item? a. Ampule of 50% dextrose b. NPH insulin subcutaneously c. Intravenous fluids containing dextrose d. Phenytoin (Dilantin) for prevention of seizures

c. Intravenous fluids containing dextrose