A nurse is caring for a client who has a blood glucose of 52. The client is lethargic but arousable. Which of the following actions should the nurse perform first?
Provide a carbohydrate and protein food
Report the findings to the provider
Provide 15 grams of simple carbohydrates
Recheck blood glucose in 15 minutes
The Correct Answer is C
A. While this is appropriate for mild hypoglycemia, the patient is lethargic, indicating a more severe state.
B. While the provider should be notified, immediate intervention is necessary to treat the hypoglycemia.
C. A blood glucose of 52 is dangerously low, and the patient is exhibiting symptoms of severe hypoglycemia. Administering 15 grams of simple carbohydrates, such as glucose tablets or juice, is the quickest way to raise blood sugar levels.
D. While rechecking blood glucose is important, it is not the priority. Immediate intervention to raise blood sugar levels is crucial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The appendix is involved in the immune system, not glucose storage.
B. The pancreas produces insulin and glucagon, hormones that regulate blood sugar levels, but it's not a major storage site for glucose.
C. The liver is the primary storage site for glucose in the body. It stores glucose in the form of glycogen. When blood sugar levels drop, the liver breaks down glycogen into glucose and releases it into the bloodstream.
D. The bone marrow is responsible for blood cell production and has no role in glucose storage.
Correct Answer is B
Explanation
A. Higher triglyceride and total cholesterol levels increase the risk of heart disease.
B. Lower levels of LDL (bad cholesterol), triglycerides, and total cholesterol are associated with a lower risk of heart disease.
C. While HDL (good cholesterol) is beneficial, a high level alone doesn't guarantee overall heart health. The focus should be on lowering LDL and total cholesterol.
D. This option has a typo, but even if corrected, it's not ideal. LDL should be lower than 100.
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