A diabetic patient is taking regular and NPH insulin to manage ...

[shenderson6]

A diabetic patient is taking regular and NPH insulin to manage his diabetes. What is the best evaluation tool to measure the overall patient response to the insulin therapy?
 
  A) Blood pressure
  B) Bilirubin level
  C) Glycosylated hemoglobin (HbAlc) levels
  D) Fasting blood glucose levels

Question 2

The nursing student asks the mental health nurse why pancuronium was administered to the patient before electroconvulsive therapy was performed. What is the mental health nurse's best response?
 
  A) To prevent aspiration of vomitus
  B) To reduce the pain of the procedure
  C) To put the patient to sleep
  D) To reduce the intensity of muscle contractions

[katara]

Answer to Question 1

C
Feedback:
HbAlc levels provide a 3-month average of glucose levels, which provides the best evaluation tool to measure the overall patient response to the treatment plan. Blood pressure readings would be used to evaluate a patient's response to an antihypertensive drug. Bilirubin could indicate liver function. Fasting blood glucose levels provide only a baseline blood sugar and no historical overview. Comparing fasting blood glucose levels with HbAlc is like comparing a picture to a video because the HbAlc looks back across a period of 3 months whereas a blood glucose test result only tells you about the exact moment the blood was drawn.

Answer to Question 2

D
Feedback:
Pancuronium is used, in this case, to induce skeletal muscle relaxation and to reduce the intensity of muscle contractions in electroconvulsive therapy. Pancuronium has no analgesic or amnesic effects. It would not reduce the risk of aspiration unless an endotracheal tube was placed with the cuff inflated and then it would not be the drug that was preventing aspiration.

[shenderson6]

Thanks

[katara]

Welcome