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 D
Explanation
A. This is the amount of blood pumped out of the left ventricle with each heartbeat.
B. This is the percentage of blood pumped out of the left ventricle with each heartbeat compared to the total amount of blood in the ventricle before the beat.
C. This refers to the total resistance the blood encounters as it flows through the circulatory system.
D. This is the total amount of blood pumped out of the left ventricle per minute. It is calculated by multiplying stroke volume by heart rate.
Correct Answer is A
Explanation
A. Asthma is a reversible obstructive airway disease characterized by inflammation and narrowing of the airways. With proper management and medication, asthma symptoms can be controlled, and airway obstruction can be reversed.
B. COPD is a progressive, irreversible lung disease that involves damage to the alveoli and airways. While symptoms can be managed, the underlying lung damage is permanent.
C. Emphysema is a type of COPD characterized by destruction of the alveoli. It is irreversible.
D. Bronchitis is inflammation of the bronchial tubes. While acute bronchitis can be reversed, chronic bronchitis is a component of COPD and is therefore irreversible.
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