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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Albuterol is a bronchodilator, not an immunosuppressant.
B. While it's possible for some medications to affect blood sugar, albuterol is not known for this side effect.
C. Mouth sores are not a common side effect of albuterol.
D. One of the common side effects of albuterol is an increased heart rate (tachycardia).
Correct Answer is D
Explanation
Hypertensive crisis is diagnosed when a patient's systolic blood pressure (SBP) is greater than 180 mmHg or their diastolic blood pressure (DBP) is greater than 120 mmHg. This is a serious condition that requires immediate medical attention.
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