A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Discontinue the infusion.
Administer IV dextrose.
Warm formula to room temperature.
Obtain arterial blood gases.
The Correct Answer is B
Hypoglycemia is a potential complication of parenteral nutrition, especially if the infusion rate is too high or if the infusion is interrupted. The nurse should promptly address hypoglycemia by administering IV dextrose, which will help raise the client's blood glucose levels.
A. Discontinuing the infusion may be necessary if the cause of hypoglycemia is related to the parenteral nutrition solution or if the infusion rate needs adjustment. However, the immediate priority is to treat the hypoglycemia by providing a glucose source.
C. Warming the formula to room temperature is not relevant to treating hypoglycemia. Warming the formula might be done for other reasons, such as improving tolerance or reducing discomfort during administration.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia. Arterial blood gases are typically obtained to assess oxygenation and acid-base balance, not glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Epinephrine is administered as a priority in anaphylactic reaction to counter the mechanism of the reaction. Epinephrine helps to reverse the severe allergic response by constricting blood vessels, relaxing smooth muscles in the lungs to improve breathing, and reducing swelling and hives. It is typically administered intramuscularly (IM) into the thigh.
B-Replacing the infusion is important to maintain intravascular volume and blood pressure in the event of hypotension associated with the anaphylactic reaction but not a priority
C-Diphenhydramine helps in managing the cutaneous allergic manifestations but does not address the life-threatening effects
D-Elevation of the client’s feet and legs is not necessary
Correct Answer is D
Explanation
Use of glasses in visual problems in the elderly avoid errors such as overdose. The use of insulin requires accurate visualization because overdosing the medication may lower the blood sugar levels too low leading to severe neuroglycopenic features or even death.
A- Long acting insulins like glargine are used as a basal insulin given once a day
B- The subcutaneous tissue is preferred
C- Insulin glargine is not added before exercise
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