A nurse is caring for a male client who has a blood glucose of 52. The client is lethargic and not able to keep his eyes open or follow directions, but his IV is patent and flushes easily. What is the PRIORITY action?
Provide a carbohydrate and protein food
Provide 15 grams of simple carbohydrates
Give the client Dextrose 50% (D50) stat IV push
Give the client IM Glucagon stat
The Correct Answer is C
A. While oral glucose is a good option for mild hypoglycemia, this patient is severely hypoglycemic and unable to swallow.
B. This is also appropriate for mild hypoglycemia, but the patient's condition warrants a more rapid- acting intervention.
C. D50 is a concentrated glucose solution that is administered intravenously for rapid correction of severe hypoglycemia. Given the patient's lethargic state and inability to follow commands, IV glucose is the most appropriate and immediate intervention.
D. While glucagon is an effective treatment for hypoglycemia, it is not the first-line treatment for a patient who is able to receive IV glucose. IV glucose is faster-acting and more reliable in this situation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. While hormonal changes during pregnancy can affect blood sugar levels, it typically leads to insulin resistance rather than an acute rise.
B. Illness can cause stress, leading to the release of stress hormones like cortisol, which can elevate blood sugar levels.
C. A severe infection can trigger a stress response, leading to hyperglycemia.
D. The body undergoes significant stress during surgery, causing an increase in blood sugar levels.
E. Corticosteroids, often referred to as steroids, have a potent effect on raising blood sugar levels.
Correct Answer is A
Explanation
A. These are the most specific and sensitive markers for diagnosing a heart attack. They are released into the bloodstream when heart muscle is damaged.
B. Myoglobin is an early marker of heart muscle damage, but it is less specific than troponin and can be elevated in other conditions.
C. B-type natriuretic peptide is a hormone primarily used to diagnose heart failure, not acute myocardial infarction (heart attack).
D. Creatine kinase-MB is an older marker for heart damage, but it is less specific than troponin and takes longer to rise in the blood.
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