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
Nifedipine is a calcium channel blocker is used in the management of hypertension. It leads to vasodilation of blood vessels lowering blood pressure. Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. Therefore, the nurse should assess the client's blood pressure prior to administering nifedipine to ensure that it is within the therapeutic range and not too low, as nifedipine can cause hypotension (as a side effect.
B,C, D- Nifedipine has no effect on respiratory rate, temperature and oxygen saturation
Correct Answer is C
Explanation
Alendronate is a bisphosphonate used in clients with osteoporosis of different origins. It is used to increase bone density. Dexa scan is used to assess bone mineral density in osteoporotic clients
A,B,D-Alendronate has no effect of urine specific gravity, Blood sugar levels or cerebrospinal fluid
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