In gero-psych if you get the patient's who are barely A&Ox1 have severe dementia that the nursing homes can't handle, always remember when they start acting out, before things escalate, that the three primary causes for behavior are pain, need to use the bathroom, and hunger.
Diabetics: I really don't know what questions you have here, but I suggest reviewing your different types of insulin and their onset and peak times. Never hold a long acting insulin. Also review s/sx of hypoglycemia/hyperglycemia. And remember a nice snack that includes a decent amount of protein is one of the nicest things you can do for the night shift nurse
Chest Pain: -First thing is first always look at the patient. Are they clutching their chest, SOB, diaphoretic, what does their skin color look like pale? grey?
-Ask about pain where is it, describe it, have you ever had pain like this before?
-Check vital signs
-If you are in a hospital call a rapid response.