Question

40. An LPN/LVN is to administer rapid-acting insulin (Lispro) to a patient with type 2 diabetes. What essential information would you be sure to tell the LPN/LVN? a. Give this insulin after the patient's food tray has been delivered and the patient is ready to eat. b. Only give this insulin if the patient's fingerstick glucose reading is above 200 mg/dL. c. This insulin mimics the basal glucose control of the pancreas. d. Rapid-acting insulin is the only insulin that can be given subcutaneously or IV. 41. In the care of a patient with type 2 diabetes, which actions can you delegate to a UAP? (Select all that apply.) a. Providing the patient with extra packets of artificial sweetener for coffee b. Assessing how well the patient's shoes fit c. Recording the liquid intake from the patient's breakfast tray d. Teaching the patient what to do if dizziness or lightheadedness occurs e. Checking and recording the patient's blood pressure 42. You are caring for a diabetic patient who is developing diabetic ketoacidosis (DKA). Which task delegation is most appropriate? a. Ask the unit clerk to page the physician to come to the unit. b. Ask the LPN/LVN to administer IV push insulin according to a sliding scale. c. Ask the UAP to hang a new bag of normal saline. d. Ask the UAP to get the patient a cup of orange juice. 43. The experienced UAP has been delegated to take vital signs and check fingerstick glucose on a diabetic patient who is postoperative. Which data change would you instruct the UAP to report immediately? a. Blood pressure increase from 132/80 mm Hg to 138/84 mm Hg b. Temperature increase from 98.4°F (36.8° C) to 99° F (37.2° C) c. Respiratory rate increase from 18 breaths/min to 22 breaths/min d. Glucose increase from 190 mg/dL to 236 mg/dL 44. The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN/LVN under your supervision? a. Observing how well the patient performs pursed-lip breathing b. Planning a nursing care regimen that gradually increases activity tolerance c. Assisting the patient with basic activities of daily living (ADL) d. Consulting with the physical therapy department about reconditioning exercises 45. The graduate nurse is told that the nurse manager's leadership style is one of letting the staff nurses make the decisions about the unit's operations. When the graduate nurse meets with the nursing staff, which question should the graduate nurse ask to confirm that the nurse manager's leadership style is laissez-faire? a. "Does the manager facilitate decision making by the group?" b. "Does the manager maintain control and make all decisions? c. "Does the manager assume a passive, nondirective approach?" d. "Does the manager change her style according to needs of the group?"

Answer 1

40 . The correct option is a) to avoid hypoglycemia due to delay in having food .

41. The correct option is a,b,c

42. The correct option is b) the first action to be done is ask the LPN /LVN to administer IV push insulin according to a sliding scale.

43. The correct option is d) severely high glucose levels should be reported immediately from 190mg /dL to 226 mg / dL .