A client with type 1 diabetes has a blood glucose of 58 mg/dL and is alert but reports feeling hungry and sweaty. What is the best action by the nurse?
Administer 1 ampule of 50% dextrose IV push
Offer the client cheese and crackers
Recheck glucose in 15 minutes without intervention
Provide 4 ounces of orange juice
The Correct Answer is D
Choice A reason: IV dextrose is reserved for severe hypoglycemia when the client is unconscious or unable to swallow.
Choice B reason: Cheese and crackers are not fast-acting carbohydrates. They are better for long-term stabilization after initial treatment.
Choice C reason: Rechecking without intervention delays treatment and risks worsening hypoglycemia.
Choice D reason: Orange juice provides a rapid source of glucose and is appropriate for treating mild hypoglycemia in an alert client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Regular aerobic exercise, such as brisk walking for at least 30 minutes most days of the week, is one of the most effective non-pharmacologic interventions to prevent progression to hypertension. It improves vascular function and reduces systolic and diastolic pressures.
Choice B reason: Restricting iron intake is not a recommended strategy for blood pressure control. Iron is essential for oxygen transport and cellular function, and its restriction may lead to anemia.
Choice C reason: Increasing vegetable consumption is beneficial for overall cardiovascular health, but exercise has a more direct and measurable impact on blood pressure reduction.
Choice D reason: Sweet potatoes are rich in potassium and fiber, both of which support blood pressure regulation. Limiting them is not evidence-based and may reduce intake of beneficial nutrients.
Correct Answer is A
Explanation
Choice A reason: Bending at the waist to retrieve an item from the floor places the hip in flexion beyond 90 degrees, which violates post-operative hip precautions and significantly increases the risk of dislocation. This action requires immediate correction.
Choice B reason: Asking for assistance when getting out of bed is appropriate and demonstrates safe behavior. It does not pose a risk and reflects good understanding of post-operative limitations.
Choice C reason: Using a long-handled shoehorn is a recommended adaptive device that helps maintain hip precautions by avoiding excessive bending. It supports independence while ensuring safety.
Choice D reason: Using a walker for ambulation is standard practice in early recovery. It promotes mobility and reduces fall risk, aligning with rehabilitation goals.
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