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Giving foods that contain protein would slow the body’s absorption of carbohydrates.

Do not give Ms. Gascon the food that she requested because her blood glucose is still below 4.0 mmol/L, 15 minutes after she was given serving of 15 g of simple carbohydrates. Giving foods that contain protein or fat would slow the body’s absorption of carbohydrates.

In cases of mild to moderate hypoglycemia, administering 15 g of simple carbohydrates raises blood glucose quickly, i.e., in 15 to 20 minutes. If the person’s blood glucose is still below 4 mmol/L 15 minutes after being given a first serving of 15 g of simple carbohydrates, another 15 g of simple carbohydrates must be given. Giving foods that contain protein or fat would slow the body’s absorption of carbohydrates.

The medical orders for Ms. Gascon’s insulin administration were changed yesterday because she had been having episodes of hyperglycemia on waking in the morning.

Her orders are as follows:

Maintain Humulin R insulin at meals and ½ dose HS, as per scale
Maintain Humulin N insulin at 16 units at breakfast and increase Humulin N insulin to 12 units at supper.

This morning when she wakes up at 5:00, Ms. Gascon has clinical manifestations of hypoglycemia and her blood glucose is 3.0 mmol/L.

Humulin R insulin is a fast-acting insulin; its peak action occurs between 2 h and 3-4 h after subcutaneous injection. This type of insulin does not have any effect on blood glucose levels on waking in the morning.

Humulin N insulin is an intermediate-acting insulin with a time to peak action of 4 to 12 h. Therefore, it can have an effect on blood glucose levels on waking in the morning.

The hypoglycemia this morning was caused by the higher dose of Humulin N insulin at supper because it is an intermediate-acting insulin with a time to peak action of 4 to 12 h.

The spine should be kept in correct alignment after laminectomy. The other positions will create misalignment of the spine.

Mrs. MacDonald recently had a fall at home 3 days ago but didn’t told her son. Many older adults over the age of 65 suffer from persistent pain without disclosing it due to fear of bothering someone. Nurses must be alert to the clinical manifestations of pain such as impatience or change in regular routines. Her pain is the care priority, that identifies your assessment findings.

If assessment of pain is impossible due to the patient’s cognitive function and denial despite changes in vital signs and nonverbal behavior the nurse must use another type of scale to complete the data collection such as a visual analog scale, pain thermometer, or Wong-Baker FACES pain rating scale.

The answer must identify an action to obtain additional relevant clinical data to better assess Mrs. MacDonald’s pain. It is inappropriate to wait for an hour while the patient is in severe pain. The FLACC scale is a behavioral scale that is used in children age 2 months to 7 years old or individual who can’t communicate their pain. The Braden scale is used for pressure ulcer risk assessment.

Albuterol is a beta2 agonist that acts rapidly as a bronchodilator. Fluticasone is a corticosteroid; it is used to prevent asthma attacks and is not used as a rescue medication. Ipratropium is an anticholinergic drug that allows the sympathetic system to dominate and cause bronchodilation; it is not as effective as a beta2 agonist, so it is not a first-line drug. Salmeterol is a long-acting beta2 agonist that must be used regularly over time; this client needs a rescue medication.

Sudden cessation of corticosteroid therapy can precipitate life-threatening adrenal insufficiency. DI, hypothyroidism, and cardiovascular complications are not common consequences of stopping corticosteroid therapy suddenly.

The ABG result indicates a respiratory alkalosis, fully compensated

None of the above, all the other options are wrong. The patient is not endanger to hurt himself or others and is not presenting extrapyramidal symptoms or immobilization syndrome.

The nurse should expect that an ED physician would diagnose the client with neuroleptic malignant syndrome and treat the client by discontinuing chlorpromazine (Thorazine) and administering dantrolene (Dantrium). Neuroleptic malignant syndrome is a potentially fatal condition characterized by muscle rigidity, fever, altered consciousness, and autonomic instability. The use of typical antipsychotics is largely being replaced by atypical antipsychotics due to fewer side effects and lower risks.

This infant is demonstrating signs of hypoglycemia, possibly secondary to a low body temperature. The nurse should first determine the serum glucose level. Option A is an intervention for a lethargic infant. Option B should be done based on the temperature, but first the glucose level should be obtained. Option C helps raise the blood sugar, but first the nurse should determine the glucose level.

Continuous breastfeeding on a 3- to 4-hour schedule during the day will cause a release of prolactin, which will suppress ovulation and menses, but is not completely effective as a birth control method. Alcohol can immediately enter the breast milk. Nicotine is transferred to the infant in breast milk. Taking a warm shower will stimulate the production of milk, which will be more painful after breastfeeding.