The nurse has completed diabetic teaching for a client who has been newly diagnosed with diabetes mellitus. Which statement by this client would indicate tothe nurse that further teaching is needed? A. "Regular insulin can be stored at room temperature for 30 days." B. "My legs, arms, and abdomen are all good sites to inject my insulin." C. "I will always carry hard candies to treat hypoglycemic reactions." D. "When I exercise, I should plan to increase my insulin dosage." D. When I exercise, I should plan to increase my insulin dosage." Rationale: Exercise helps facilitate the entry of glucose into the cell, so increasing insulin doses with exercise would place the client at high risk for a hypoglycemic reaction(D). (A, B, and C) reflect accurate statements about the use of insulin and management of hypoglycemic reactions. A client with schizophrenia has been taking the antipsychotic agent clozapine (Clozaril) for the past 3 weeks. Which nursing assessment finding would have thegreatest implications for this client's care? Low-grade fever The apical heart rate of an infant receiving digoxin (Lanoxin) for congestive heartfailure slows to 80 beats/min. What intervention should the nurse implement first? Obtain a serum digoxin level Sinus bradycardia (rate of less than 90 to 110 in an infant) is an indication of digoxin toxicity, so assessment of the client's digoxin level is the highest priority A client with viral influenza is receiving vitamin C 1000 mg PO daily and acetaminophen elixir 650 mg PO every 4 hours PRN. The nurse calls the healthcare provider to report that the client has developed diarrhea. Whichchange in prescriptions should the nurse anticipate? Decrease the dose of vitamin C. What nursing intervention has the highest priority during IV administration ofmechlorethamine HCl (nitrogen mustard) and actinomycin (Actinomycin-D)? Assess for extravasation at the IV site during infusion. client is receiving oral griseofulvin (Grisactin) for a persistent tinea corporis infection. What response by the client indicates an accurate understanding of thedrug teaching conducted by the nurse? "I'll wear sunscreen whenever I mow the lawn." A 42-year-old client is admitted to the emergency department after taking an overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse plan to administer to reverse the cardiac and central nervous system effectsof amitriptyline (Elavil)? Physostigmine (Antilirium) The healthcare provider prescribes the H2 antagonist famotidine (Pepcid) 20 mgin the morning and at bedtime. What statement regarding the action of H2 antagonists offers the correct rationale for administering the medication at bedtime? Gastric acid secreted at night is buffered, preventing pepsin formation female client is receiving sulfisoxazole (Gantrisin) for a urinary tract infection.What client teaching should the nurse include? Oral contraceptives may not be effective. Prior to administering a scheduled dose of digoxin (Lanoxin), the nurse reviews the client's current serum digoxin level, which is 1.3 ng/dl. Which action shouldthe nurse implement? A. Administer Digibind to counteract the toxicity. B. Withhold the drug and notify the health care provider immediately. C. Withhold the dose and notify the health care provider during rounds that thedose was held. D. Give the dose of digoxin if the client's heart rate is within a safe range.Give the dose of digoxin if the client's heart rate is within a safe range The client's digoxin level of 1.3 ng/dl is not above the upper range of its therapeutic index (toxic level is greater than 2.0 ng/dl), so the dose should beadministered after evaluating the client's heart rate A 19-year-old male client who sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client from "fighting" the ventilator, the healthcare provider administers pancuronium bromide (Pavulon) IV with adjunctive narcotic analgesia.What medication should the nurse maintain at the client's bedside? Neostigmine bromide (Prostigmin) The nurse is administering the early morning dose insulin aspart (NovoLog) 5 unitssubcutaneously to a client with diabetes mellitus type 1. The client's fingerstick serum glucose is 140 mg/dl. Considering the onset of NovoLog, when should the nurse ensure that the client's breakfast is available? 5 minutes after subcutaneous administration Insulin aspart is a very rapidly acting insulin with an onset of 5 to 15 minutes. NovoLog should be administered when the client's tray is available (A). NovoLogpeaks in 45 minutes to 1.5 hours (B and C) and has a duration of 3 to 4 hours. What nursing intervention has the highest priority during IV administration ofmechlorethamine HCl (nitrogen mustard) and actinomycin (Actinomycin-D)?