A nurse is caring for an adolescent client who has type 1 diabetes mellitus. The adolescent reports mild symptoms and a serum glucose level of 55 g/dL. Which of the following should the nurse give the client?

Glucagon injection

1 tsp of sugar

Glass of orange juice

1 tsp of peanut butter

Answer and Explanation

The Correct Answer is C

Management of hypoglycemia in a client with Type 1 diabetes mellitus involves rapid recognition and prompt administration of fast-acting carbohydrates to restore blood glucose levels. Mild hypoglycemia commonly presents with symptoms such as shakiness, sweating, hunger, irritability, or dizziness when blood glucose falls below normal levels. The priority treatment for a conscious client is administration of rapidly absorbable carbohydrates that can quickly raise serum glucose. Timely intervention helps prevent progression to severe neurological impairment or loss of consciousness.

Rationale:
A. Glucagon injection is typically reserved for severe hypoglycemia when the client is unconscious, unable to swallow safely, or experiencing seizures. Since the adolescent has only mild symptoms and is presumably alert enough to take oral carbohydrates, injectable glucagon is unnecessary at this stage. Oral treatment is preferred for mild hypoglycemic episodes.

B. One teaspoon of sugar alone does not provide an adequate amount of carbohydrate to effectively correct hypoglycemia. Standard treatment recommendations usually involve approximately 15 g of rapid-acting carbohydrate. A single teaspoon contains too little glucose and may not raise serum glucose sufficiently or rapidly enough.

C. A glass of orange juice is appropriate because it contains rapidly absorbed simple carbohydrates that quickly increase blood glucose levels. Fruit juice is commonly recommended for conscious clients experiencing mild hypoglycemia due to its fast onset of action. This intervention follows the “15-15 rule” commonly used in hypoglycemia management.

D. Peanut butter is not appropriate for immediate correction of hypoglycemia because its fat and protein content slows glucose absorption. Although it may help maintain glucose levels after initial correction, it does not act quickly enough to treat acute low blood sugar. Rapid-acting carbohydrates are needed first.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Prevention of musculoskeletal stress injuries focuses on maintaining proper body mechanics during lifting, pushing, and transferring activities. Good body alignment reduces strain on muscles, ligaments, and the spine by ensuring forces are distributed evenly across large muscle groups. Nurses teach clients to avoid twisting movements, maintain a wide base of support, and keep objects close to the body when lifting. These principles help prevent acute strain and long-term back injuries.

Rationale:
A. Facing the object directly and avoiding twisting reflects correct body mechanics principles. Twisting the spine while lifting or moving increases the risk of musculoskeletal injury by placing uneven stress on vertebral structures and surrounding muscles. Proper alignment ensures force is distributed safely, reducing the likelihood of strain injuries.

B. Positioning arms away from the body when pushing an object is incorrect because it increases leverage strain on the shoulders and upper back. Keeping objects and force application close to the body improves stability and reduces muscular effort. Extending the arms increases the risk of injury and fatigue.

C. Positioning legs close together before lifting is unsafe because it reduces the base of support and decreases balance. Proper lifting technique requires a wide stance to enhance stability and distribute body weight evenly. A narrow base increases the risk of falls and back strain.

D. Positioning objects away from the body before lifting them is incorrect because it increases torque on the spine. Objects should be held close to the center of gravity to reduce strain on the back muscles. Keeping loads close minimizes the risk of injury during lifting activities.

A. Hypotension B. Crepitus C. Tracheal deviation D. Pain on inspiration

Correct Answer is C

Explanation

Rib fractures can lead to serious thoracic complications such as pneumothorax, hemothorax, or tension pneumothorax due to underlying lung injury. Nurses must prioritize assessment for signs of respiratory compromise and mediastinal shift, as these conditions can rapidly become life-threatening. Clinical findings that indicate impaired ventilation or altered intrathoracic pressure require immediate escalation of care. Early recognition is essential to prevent respiratory failure and cardiovascular collapse.

Rationale:
A. Hypotension may occur with significant blood loss or tension pneumothorax, but it is a late sign of deterioration. While concerning, it does not specifically indicate the most immediate life-threatening thoracic shift compared to tracheal deviation. It should be addressed urgently but follows airway and structural compromise indicators.

B. Crepitus is a common finding in rib fractures and represents air trapped in subcutaneous tissue. Although it indicates underlying injury such as air leakage from the lung, it is not immediately life-threatening on its own. It requires monitoring but is not the priority compared to signs of mediastinal shift.

C. Tracheal deviation is the priority finding because it indicates a possible tension pneumothorax, a life-threatening condition caused by increasing intrathoracic pressure that shifts mediastinal structures. This can compromise both ventilation and venous return, leading to rapid cardiovascular collapse. In conditions such as Pneumothorax, tracheal deviation is an emergency sign requiring immediate intervention.

D. Pain on inspiration is expected with rib fractures due to movement of the chest wall during breathing. While it requires pain management to promote adequate ventilation, it is not an indicator of life-threatening complications. It is considered an anticipated symptom rather than an urgent finding.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for an adolescent client who has type 1 diabetes mellitus. The adolescent reports mild symptoms and a serum glucose level of 55 g/dL. Which of the following should the nurse give the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing client teaching about preventing stress injuries. Which of the following statements by the client indicates an understanding of teaching?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has fractured ribs. Which of the following is the priority finding the nurse should report to the provider?

Correct Answer is C

Explanation

A nurse is discussing the plan of care of a client who Is 4 hr postoperative and has a urostomy with an assistive personnel. Which of the following statements should the nurse include in the discussion?

A nurse is caring for a client who is 2 days postoperative. Which of the following findings should the nurse identify as an Indication of postoperative Infection?

A nurse is verifying informed consent for a client who is preoperative for a vaginal hysterectomy. Which of the following statements should the nurse identify as an indication that the client has given informed consent?

A nurse is collecting data from a newborn who was born 24 hr ago. Which of the following images should the nurse identify as an indication that the newborn has erythema toxicum?

A nurse is caring for a client who has hypertension and a prescription for a 2-gram sodium diet. Which of the following foods should the nurse recommend as having the lowest amount of sodium?

A nurse is reviewing the medical record for a child who is scheduled to receive a varicella immunization. Which of the following findings in the client's record should the nurse recognize as a contraindication?

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of tuberculosis. Which of the following Instructions should the nurse include in the teaching?

A nurse is collecting data from a client who is 2 days postoperative following abdominal surgery. Which of the following findings is a manifestation that can indicate an infection?