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

Answer and Explanation

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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Correct Answer is B

Explanation

A. A fasting blood glucose level of 126 mg/dL or higher on two separate occasions indicates diabetes.
B. Levels below 70 mg/dL can indicate hypoglycemia, a condition characterized by abnormally low blood sugar levels.
C. A fasting blood glucose level between 100 and 126 mg/dL indicates prediabetes.
D. To get accurate results, the patient should not eat or drink anything except water for 8 hours before the test.

A. Patient has a history of angina and is taking SL Nitroglycerin B. Patient has a history of hyperglycemia and is taking SQ insulin C. Patient has history of hypotension and is taking PO Digoxin D. Patient's mother died from ovarian cancer

Correct Answer is A

Explanation

A. Vasopressin has a vasoconstrictive effect, which means it narrows blood vessels while nitroglycerin has a vasodilatory effect, meaning it widens blood vessels. Combining these two medications could potentially lead to a significant drop in blood pressure and increase the risk of angina or myocardial infarction.
B. While hyperglycemia and insulin use are relevant for managing diabetes, they are not directly related to the use of Vasopressin. Vasopressin's main concerns are related to fluid balance and blood pressure rather than glucose levels.
C. Vasopressin can actually help to increase blood pressure, which might be beneficial for a patient with hypotension.
D. The family history of ovarian cancer does not have a direct impact on the use of Vasopressin. Vasopressin’s use is more closely related to cardiovascular and fluid balance issues rather than cancer history.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For a patient who is taking a Fasting blood glucose test, which of the following statements is FALSE?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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