A nurse is assessing a client who is lethargic, diaphoretic, and difficult to arouse. The client's blood sugar result was 40 mg/dL. The nurse anticipates which of the following to be administered?

Glucose tablets

Epinephrine

IVP dextrose 50%

4 oz of orange juice

Answer and Explanation

The Correct Answer is C

A. Glucose tablets are appropriate for clients with mild hypoglycemia who are alert and able to chew and swallow; they are not suitable for someone who is difficult to arouse.
B. Epinephrine is not used as a treatment for hypoglycemia; it does not directly increase blood glucose levels.
C. IVP (intravenous push) dextrose 50% is indicated for severe hypoglycemia in clients who are lethargic or unresponsive, as it rapidly increases blood glucose levels.
D. Orange juice is effective for mild hypoglycemia but is not appropriate in this case due to the client’s altered mental status and risk of aspiration.

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Correct Answer is B

Explanation

A. Black-colored stools may indicate gastrointestinal bleeding, which is not a common side effect of rifampin.
B. Rifampin is known to cause orange-colored secretions, including urine, sweat, and tears, which is a normal and expected side effect.
C. Rifampin does not typically cause staining of teeth; this is more commonly associated with other medications like tetracyclines.
D. Constipation is not a recognized side effect of rifampin, and patients are not typically advised to expect this as a result of the medication.

A. "My skin is not bruising as much." B. “I am sleeping so much better." C. "I don't feel as anxious as I once did." D. “I can't seem to gain any weight no matter how much I eat." E. "My menstruation is returning back to its regular cycle." F. "My heart doesn't seem to be racing anymore."

Correct Answer is ["B","C","E","F"]

Explanation

A. Bruising is typically related to anticoagulant effects or blood disorders and not directly tied to the desired effects of PTU.
B. Improved sleep is an indicator that hyperthyroidism symptoms, such as insomnia, are being managed effectively.
C. A decrease in anxiety can suggest effective management of hyperthyroidism, as anxiety is a common symptom of this condition.
D. Weight loss or inability to gain weight is usually a symptom of hyperthyroidism, so this statement would indicate that PTU is not achieving the desired effect.
E. A return to regular menstruation can indicate improved thyroid function, as hyperthyroidism can disrupt menstrual cycles.
F. Reduced heart rate and the absence of palpitations suggest effective management of hyperthyroidism symptoms, indicating the drug is having the desired effect.

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A nurse is assessing a client who is lethargic, diaphoretic, and difficult to arouse. The client's blood sugar result was 40 mg/dL. The nurse anticipates which of the following to be administered?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for rifampin (Rifadin). The nurse should instruct the client that they should expect which of the following clinical manifestations while taking this medication?

Correct Answer is B

Explanation

A client has been taking propylthiouracil (PTU) for 8 weeks. Which statement by the client would indicate the drug is having its desired effects? (Select all that apply).

Correct Answer is ["B","C","E","F"]

Explanation

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