Author Question: The client has type 1 diabetes mellitus and receives insulin. Which laboratory test will the nurse ... (Read 65 times)

neverstopbelieb · **on:** Jul 23, 2018

The client has type 1 diabetes mellitus and receives insulin. Which laboratory test will the nurse assess?

1. Potassium
2. Serum amylase
3. AST (aspartate aminotransferase)
4. Sodium

Question 2

The physician orders intravenous (IV) insulin for the client with a blood sugar of 563. The nurse administers insulin lispro (Humalog) intravenously (IV). What does the best evaluation by the nurse reveal?

1. The nurse used the correct insulin.
2. The nurse should have contacted the physician.
3. The nurse should have used regular insulin (Humulin R).
4. The nurse could have given the insulin subcutaneously.

Chou · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Insulin causes potassium to move into the cell and may cause hypokalemia.
Rationale 2: There is no need to monitor the serum amylase level.
Rationale 3: There is no need to monitor the AST (aspartate aminotransferase) level.
Rationale 4: There is no need to monitor the sodium level.

Answer to Question 2

Correct Answer: 3
Rationale 1: The nurse did not use the correct insulin as it was not regular insulin.
Rationale 2: There was no need to contact the physician; regular insulin is the only insulin that can be given intravenously (IV). The physician should be contacted now.
Rationale 3: Regular insulin is the only insulin that can be given intravenously (IV).
Rationale 4: The nurse cannot give the insulin subcutaneously when it is ordered to be given intravenously (IV).