The client injects his insulin as prescribed but then gets busy ...

[Bob-Dole]

The client injects his insulin as prescribed but then gets busy and forgets to eat. What is the nurse's most likely assessment finding?
 
  1. The client will be very thirsty.
  2. The client will need to urinate.
  3. The client will have moist skin.
  4. The client will complain of nausea.

Question 2

Which teaching instruction is most appropriate for a client who has just been prescribed an SSRI?
 
  1. The full therapeutic effect takes one month.
  2. Take the medication at bedtime.
  3. The depression should improve immediately.
  4. There are few side effects of SSRIs.

[polinasid]

Answer to Question 1

3
Rationale 1: Thirst is a sign of hyperglycemia; the client would experience hypoglycemia if he did not eat.
Rationale 2: Increased urination is a sign of hyperglycemia; the client would experience hypoglycemia if he did not eat.
Rationale 3: Moist skin is a sign of hypoglycemia, which the client would experience if he injected insulin and did not eat.
Rationale 4: Nausea is a sign of hyperglycemia; the client would experience hypoglycemia if he did not eat.
Global Rationale: Moist skin is a sign of hypoglycemia, which the client would experience if he injected insulin and did not eat. Thirst is a sign of hyperglycemia; the client would experience hypoglycemia if he did not eat. Increased urination is a sign of hyperglycemia; the client would experience hypoglycemia if he did not eat. Nausea is a sign of hyperglycemia; the client would experience hypoglycemia if he did not eat.

Answer to Question 2

1

Rationale 1: Full therapeutic effect takes one month for SSRIs.
Rationale 2: The medication should be taken in the morning.
Rationale 3: The full therapeutic effect takes one month.
Rationale 4: There are many side effects for SSRIs.

Global Rationale: Full therapeutic effect takes one month for SSRIs. The medication should be taken in the morning, not at bedtime. Depression does not improve immediately because the full therapeutic effect takes one month. There are many side effects for SSRIs.

[Bob-Dole]

TY

[polinasid]

You're welcome