1000 ml of lactated ringers over 8 hours the drip factor is 10 gtt/min. How many drops per minute.

A. Verifying diabetes type is important for long-term management but not the immediate priority in a critical situation.
B. Assessing vital signs is part of the nursing assessment but should come after alerting the care team in a severe hyperglycemic crisis.
C. Administering sliding scale insulin without further evaluation or orders could be dangerous at such a critically high glucose level.
D. A glucose level of 750 mg/dL is dangerously high and may indicate a life-threatening condition such as diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS). The priority action is to immediately notify the RN and provider for urgent intervention and further orders.

A. Hydrochlorothiazide is a diuretic used to treat hypertension; while it can have side effects, liver toxicity is not a common one.
B. Long-term smoking affects the lungs and cardiovascular system more prominently than the liver.
C. Acetaminophen (especially at or above 4,000 mg/day) is a leading cause of liver toxicity, particularly in overdose or prolonged high-dose use. A dose of 4,500 mg/day exceeds the recommended maximum and increases the risk for liver damage.
D. A high-fiber diet is generally beneficial and not associated with liver toxicity.