A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?
Hyperglycemia
Hypovolemia
Hypercalcemia
Hypokalemia
The Correct Answer is A
Choice A reason: An IV infusion of dextrose 10% in water can cause hyperglycemia, which is an elevated blood sugar
level.
Choice B reason: Hypovolemia, or decreased blood volume, is not a typical adverse effect of dextrose infusion.
Choice C reason: Hypercalcemia, or high calcium levels in the blood, is not associated with dextrose infusion.
Choice D reason: While dextrose infusion can affect electrolyte balance, hypokalemia, or low potassium levels, is not
the primary concern with dextrose infusion.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Infusing 0.9% sodium chloride is not the immediate action to take when a transfusion reaction is suspected. The priority is to stop the transfusion and address the reaction.
Choice B reason: Obtaining a blood sample from the client is necessary to perform laboratory tests to confirm the transfusion reaction and to identify the cause.
Choice C reason: Returning the unit of blood to the blood bank is done after the transfusion has been stopped and the reaction has been addressed. It is important for the blood bank to know about the reaction to investigate the cause.
Choice D reason: Notifying the charge nurse is important, but the first action should be to stop the transfusion and maintain the client's safety. The charge nurse can then assist with the subsequent steps.
Correct Answer is A
Explanation
Choice A reason: Fats help in the absorption of fat-soluble vitamins (A, D, E, and K), which is essential for various bodily functions.
Choice B reason: While fats are involved in the makeup of myelin that insulates nerve cells, they do not directly
regulate nerve cell transmission.
Choice C reason: Fats do not convert to sugar; they are broken down into fatty acids and glycerol to provide energy.
Choice D reason: Proteins are primarily responsible for building and repairing tissues, not fats.
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