A nurse is caring for a preschooler who has diabetes mellitus and is pale, diaphoretic, and irritable. The child's blood glucose level is 52 mg/dL. Which of the following actions should the nurse take first?
Give 1 tsp of peanut butter to the child.
Recheck the child's blood glucose level.
Administer 1 tbsp of sugar to the child.
Document the incident in the child's record.
The Correct Answer is C
Rationale:
A) Peanut butter is not a rapidly absorbed source of glucose and may not be appropriate for treating hypoglycemia.
B) While rechecking the child's blood glucose level is important, immediate treatment should be initiated for symptomatic hypoglycemia.
C) Administering a rapidly absorbed source of sugar, such as 1 tablespoon of sugar or honey, is the priority intervention for treating hypoglycemia in a conscious child.
D) Documenting the incident is important but should not delay the administration of treatment for hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A) Montelukast is a leukotriene receptor antagonist that helps prevent bronchospasms by reducing inflammation in the airways.
B) Montelukast is not a corticosteroid; it works through a different mechanism to control asthma symptoms.
C) Montelukast is not used for acute asthma attacks; it is used for long-term management and prevention of asthma symptoms.
D) Montelukast can be taken once daily, typically in the evening, and does not necessarily need to be taken first thing in the morning.
Correct Answer is B
Explanation
Rationale:
A) Foods high in fiber are generally healthy and do not need to be avoided with lisinopril.
B) Lisinopril can increase potassium levels in the blood, so clients should avoid high- potassium foods to prevent hyperkalemia.
C) Foods high in vitamin K are typically associated with blood clotting and are not contraindicated with lisinopril.
D) Dairy products are not specifically contraindicated with lisinopril, although they should be consumed in moderation as part of a balanced diet.
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