Which action by a patient indicates that the home health nurse’s teaching about glargine and regular insulin has been successful?

Correct Answer: D

Rationale: Step 1: Glargine and regular insulin should not be mixed in the same syringe as they have different onset and duration of action. Step 2: Administering glargine 30 minutes before each meal is incorrect as it is a long-acting insulin. Step 3: Pre-filling syringes weekly with the mix of insulins can lead to incorrect dosing or contamination. Step 4: Disposing of open vials after 4 weeks is the correct action to ensure potency and safety of the insulin. Summary: Choice D is correct because it demonstrates proper insulin storage and disposal practices. Choices A, B, and C are incorrect as they involve incorrect administration techniques or storage practices.

Correct Answer: C

Rationale: The correct answer is C: Maintain a consistent time to wake up each day. This recommendation helps regulate the body's internal clock, promoting a consistent sleep-wake cycle. By waking up at the same time every day, the client's body will naturally adjust and improve their ability to fall asleep at night. Watching TV in bed (A) can disrupt sleep due to the blue light emitted. Drinking hot cocoa (B) may not be ideal close to bedtime due to the caffeine content. Exercising before bed (D) can stimulate the body and make it harder to fall asleep.

Correct Answer: D

Rationale: The correct answer is D: Abdominal cramping. A sodium level of 125 mEq/L indicates hyponatremia, which can lead to abdominal cramping due to electrolyte imbalance affecting muscle function. Chvostek's sign (choice A) is associated with hypocalcemia, not hyponatremia. Bradycardia (choice B) is more commonly seen in hyperkalemia. Numbness of the extremities (choice C) is a symptom of hypocalcemia or peripheral neuropathy, not specifically related to hyponatremia. In summary, the healthcare professional should expect abdominal cramping as a result of the low sodium level in this client.

Correct Answer: C

Rationale: The correct answer is C: Assist the client to an upright position. This is the priority intervention because placing the client in an upright position helps improve lung expansion and oxygenation by optimizing ventilation-perfusion matching. This position also reduces the risk of aspiration and improves overall respiratory function. Choice A (Suction the client's airway) is not the first intervention because difficulty breathing in this scenario is more likely due to positioning rather than airway obstruction. Choice B (Instruct the client to perform incentive spirometry every hour) is not the first intervention as it may not address the immediate issue of breathing difficulty related to supine positioning. Choice D (Humidify the client's supplemental oxygen) is not the first intervention as lack of humidification is not likely the cause of the client's difficulty breathing in this situation.

Correct Answer: C

Rationale: The correct answer is C because the client's statement demonstrates a desire for comfort-focused care, which is the essence of palliative care for terminal cancer patients. The client is expressing a clear preference for measures that prioritize comfort and quality of life over aggressive treatment. This indicates readiness to receive information about palliative care. Choice A is incorrect because the client mentions chemotherapy for a cure, indicating a focus on curative treatment rather than comfort care. Choice B is incorrect as the client seems to be expressing a desire for a quick end to their suffering, which may not align with palliative care goals. Choice D is incorrect because the client is expressing unrealistic optimism about recovery, which may hinder acceptance of palliative care.