A nurse is caring for a client who is diagnosed with diabetes mellitus type 2. The client received insulin via the subcutaneous (SQ) route, which was given by the primary nurse and verified with a secondary nurse. One hour after administration, the client was not able to follow commands with a blood glucose reading of 30 mg/dL. The nurse should expect an order for which of the following medications?
Metformin (Glucophage)
Glucagon (GlucaGen)
Glipizide (Glucotrol)
Insulin
The Correct Answer is B
A. Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B. Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C. Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D. Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B. Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C. Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D. Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.
Correct Answer is A
Explanation
A. Oral (PC): Naloxone undergoes rapid first-pass metabolism when taken orally, making it ineffective via this route.
B. Intravenous (IV): This is an effective route for naloxone administration.
C. Intramuscular (IM): This is also an effective route for naloxone administration.
D. Subcutaneous (SC): Naloxone can also be administered subcutaneously.
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