The nurse receives report of four issues at 0800. Which situation is addressed first?

Patient with diabetes who received 13 units of insulin instead of 3 units. The patient who received 13 units of insulin instead of 3 units should be assessed first for signs of serious hypoglycemia related to insulin overdose. The next patient to be seen is the one whose first vancomycin dose was due at 0600. This patient likely has a serious infection that should be treated promptly, but without more information on the patient’s condition, the first patient to be seen is the one who was given far too much insulin. The patient who requires a vancomycin trough before the next dose is given should be seen next. Although the patient needs to receive the antibiotic promptly, the patient has a certain amount circulating in the bloodstream due to the half-life of vancomycin. Lastly, the patient who was undertreated with insulin should be seen. Although the patient’s glucose level is likely not in range, the patient is less at risk for short term complications than the other patients.

The nurse receives report of four issues at 0800. Which situation...

Category: Management of Care
Difficulty: 9

Topics: Communication & Documentation Delegation, Prioritization and Leadership Endocrine Routes of Administration Assessment Infection Laboratory Studies Lifestyle Choices and High Risk Behavior Medication and Blood Products Nursing Interventions

Want help? View the answer with rationale.

Additional Management of Care Questions

The patient is admitted to the hospital with acute diverticulitis. Which order does the nurse question?

Question Type: Multiple Choice - Select One
Difficulty: 9

The nurse is caring for a patient on the night shift in respiratory distress due to influenza. Over the last few hours, the patient has become increasingly confused, perfusion has decreased, and urine output has fallen to zero. The nurse contacts the resident physician to come assess the patient and requests an order for transfer to the intensive care unit. The physician orders the nurse to administer 1L 0.9% NaCl via IV infusion. One hour after the infusion is complete, the patient has made no improvement. What is the nurse’s next action?

Question Type: Multiple Choice - Select One
Difficulty: 7

Which is the most crucial consideration in delegating tasks and procedures to an unlicensed assistive personnel?

Question Type: Multiple Choice - Select One
Difficulty: 3

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Management of Care Questions

Nursing Careers

Nursing Degrees

NCLEX