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 A

Explanation

A. The absence of wheezing in a patient with an acute asthma attack is a critical sign. It may indicate that the patient is deteriorating rapidly, and their airways are closing significantly. This is a life-threatening situation requiring immediate intervention.
B. A patient with an acute asthma attack would not be discharged without significant improvement and stabilization.
C. While it might seem like an improvement, the absence of wheezing in this context is a red flag and not a positive sign.
D. The patient may still require additional bronchodilators or other interventions.

A. Patient is a male with a Triglyceride level of 260 B. Patient is a male with a waist size of 35 C. Patient is a male with Systolic BP of 150 D. Patient is a female with an LDL of 150 E. Patient is a female with a waist size of 28

Correct Answer is ["A","C","D"]

Explanation

A. A triglyceride level of 260 mg/dL is above the threshold of 150 mg/dL, which is considered elevated and is one of the criteria for Metabolic Syndrome.
B. Not Consistent with Metabolic Syndrome. For males, the waist circumference criterion for Metabolic Syndrome is greater than 40 inches. A waist size of 35 inches is below this threshold.
C. Consistent with Metabolic Syndrome. A systolic blood pressure of 150 mm Hg is above the threshold of 130 mm Hg, which is used to diagnose elevated blood pressure as part of Metabolic Syndrome.
D. This is consistent with metabolic syndrome. High LDL cholesterol is a risk factor.
E. Not Consistent with Metabolic Syndrome. For females, the waist circumference criterion for Metabolic Syndrome is greater than 35 inches. A waist size of 28 inches is below this threshold.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Metabolic syndrome is a set of patient findings that place them at high risk for developing Type 2 Diabetes Mellitus. Which of the following findings would be consistent with Metabolic Syndrome?

Correct Answer is ["A","C","D"]

Explanation

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