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

Answer and Explanation

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.

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Correct Answer is ["B","D"]

Explanation

A. Excessive hunger is more commonly associated with hypoglycemia (low blood sugar), not hyperglycemia.
B. When blood sugar levels are high, the kidneys work overtime to filter out the excess glucose, leading to increased urination and dehydration. This causes increased thirst.
C. Sweaty skin is more often associated with hypoglycemia or other conditions like anxiety.
D. As mentioned above, the kidneys work harder to eliminate excess glucose, leading to increased urine production.

A. It tells us your average blood Sugar levels over the last 4 months B. It tells us if your pancreas is producing the hormone insulin C. It tells us your blood sugar levels without regard to your last food intake D. It tells us how much sugar you have been eating over the last few months

Correct Answer is A

Explanation

A. The Hgb A1c test provides a snapshot of your average blood sugar levels over the past 2-3 months.
B. The Hgb A1c test does not measure insulin production. It measures the amount of glucose attached to hemoglobin in red blood cells.
C. While the Hgb A1c test is not affected by recent food intake, it doesn't provide a snapshot of your current blood sugar level. It reflects an average over several months.
D. The Hgb A1c test measures blood sugar levels, not directly sugar intake. While diet affects blood sugar, the test does not isolate sugar consumption.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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