A client with type 2 diabetes mellitus is feeling diaphoretic, anxious, and hungry, unable to swallow or follow commands. The nurse noticed these symptoms occurred 45 minutes after an insulin injection. The nurse suspects the client is experiencing insulin toxicity. Which of the following medication should the nurse have available for this client?
Regular insulin
Diphenhydramine (Benadryl)
Metformin (Glucophage)
Glucagon (GlucaGen)
The Correct Answer is D
A. Regular insulin – This is incorrect. Regular insulin would exacerbate hypoglycemia since it lowers blood glucose levels. Administering insulin in this scenario would worsen the client's condition.
B. Diphenhydramine (Benadryl) – This is incorrect. Diphenhydramine is an antihistamine and has no role in treating hypoglycemia or insulin toxicity.
C. Metformin (Glucophage) – This is incorrect. Metformin is an oral hypoglycemic agent and is not suitable for immediate treatment of insulin-induced hypoglycemia.
D. Glucagon (GlucaGen) – This is correct. Glucagon raises blood glucose by promoting glycogen breakdown in the liver and is the treatment of choice for severe hypoglycemia in clients unable to swallow or follow commands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
- Docusate sodium: This is a surfactant laxative that helps soften stools by allowing water and fats to penetrate the stool, making it easier to pass.
- Loperamide: This medication is an anti-diarrheal agent that works by slowing down gut movement, which helps reduce the frequency of diarrhea.
Correct Answer is A
Explanation
A. "I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time." – This is correct. Taking aluminum hydroxide and cimetidine simultaneously reduces the effectiveness of cimetidine by impairing its absorption. This statement indicates a need for further teaching.
B. "I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)." – This is incorrect. Taking aluminum hydroxide 1 hour before cimetidine allows enough time for the antacid's effects on stomach acidity to stabilize, reducing interference.
C. "I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)." – This is incorrect. Taking the antacid 2 hours before cimetidine provides sufficient time for proper absorption of the medication.
D. None of the above – This is incorrect because statement A reflects improper administration.
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