A client, who just took his first dose of glipizide, is now experiencing tremors, pallor, and agitation. How should the nurse respond?

Acknowledge how hard a diagnosis of diabetes can be and offer to listen.

Check the blood glucose and give carbohydrates if the client is hypoglycemic.

Ask the clients family to come to sit with him until the client's panic attack subsides.

Give diphenhydramine per standing order for this allergic reaction.

Answer and Explanation

The Correct Answer is B

a) The symptoms described are indicative of hypoglycemia, and addressing the client's emotional state or offering to listen does not address the immediate medical issue.

b) Checking the blood glucose level is crucial to determine if the symptoms are due to hypoglycemia, and providing carbohydrates can help raise the blood sugar level promptly.

c) Assuming a panic attack without assessing the potential hypoglycemic state could delay appropriate intervention.

d) The symptoms described are not consistent with an allergic reaction, so giving diphenhydramine is not the appropriate response.

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Correct Answer is ["0.3"]

Explanation

Convert the ordered dose from micrograms (mcg) to milligrams (mg):
- 300 mcg = 0.3 mg (since 1 mg = 1000 mcg)
Use the formula:
Dose to administer = (Desired Dose ÷ On-Hand Dose) × Quantity Available
- Desired Dose (D) = 0.3 mg
- On-Hand Dose (H) = 1 mg
- Quantity Available (Q) = 1 mL
Calculate:
0.3 mg ÷ 1 mg × 1 mL = 0.3 mL

The nurse should administer 0.3 mL of the medication.

A. "I can rotate acetaminophen with ibuprofen if needed for pain control, so I don't take too much of either one." B. "If I still have pain 10 minutes after taking 1000 mg of acetaminophen, I should take two of oxycodone-acetaminophen." C. "Taking more than 4000 mg of acetaminophen in a day can cause liver problems." D. "Taking acetaminophen often could mask any infection-related fevers I might have."

Correct Answer is D

Explanation

a) The statement about rotating acetaminophen with ibuprofen for pain control demonstrates an understanding of the principles of multimodal pain management and is appropriate.

b) The statement about taking two oxycodone-acetaminophen tablets if pain persists after a certain time frame is appropriate and reflects awareness of appropriate pain management strategies.

c) The statement about the maximum daily dose of acetaminophen and its potential to cause liver problems is accurate and indicates good knowledge.

d) The statement about acetaminophen masking infection-related fevers is incorrect. While acetaminophen can reduce fever, it does not mask the presence of an infection. This statement indicates a need for further teaching.

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A client, who just took his first dose of glipizide, is now experiencing tremors, pallor, and agitation. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse receives an order to give atropine 300mcg SQ now. The medication is available in 1mg/mL vial. How many mL should the nurse administer? (Record the answer to the tenth, or one decimal place. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.3"]

Explanation

A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?

Correct Answer is D

Explanation

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A client weighs 214 lb. What is the clients weight in kg? (Record answer to the nearest tenth, or one decimal place. Do not use a trailing zero.)

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Which of these statements best describes the concept of half-life?

Which variables can help determine the client's response to a drug? (Select all that apply.)

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