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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Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is D
Explanation
A. Jaundice is associated with liver problems.
B. Kehr's sign is associated with irritation of the diaphragm, often due to conditions like splenic rupture.
C. Polycythemia vera is a blood disorder characterized by an overproduction of red blood cells.
D. Autoantibodies are antibodies produced by the immune system that attack the body's own cells. In Type 1 Diabetes, these autoantibodies target the insulin-producing cells. C-peptide is a byproduct of insulin production. Since Type 1 Diabetes involves the destruction of insulin-producing cells, C-peptide levels will be low or absent.
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