A nurse is teaching the partner of a client who has diabetes mellitus how to manage episodes of severe hypoglycemia when the client is unresponsive.
Which of the following actions should the nurse instruct the partner to take first?
Administer glucagon IM to the client.
Call emergency medical services.
Check the client’s blood glucose level.
Transport the client to the emergency department.
The Correct Answer is A
Choice A rationale
Administering glucagon IM is the first action in managing severe hypoglycemia when the client is unresponsive. Glucagon stimulates the liver to release stored glucose, increasing blood glucose levels rapidly.
Choice B rationale
While calling emergency medical services is important, it is not the first action. Immediate administration of glucagon is crucial to prevent prolonged hypoglycemia and potential complications.
Choice C rationale
Checking the client's blood glucose level is important but should follow the administration of glucagon. Rapid intervention with glucagon can prevent worsening symptoms and stabilize the client.
Choice D rationale
Transporting the client to the emergency department is necessary if the condition does not improve. However, immediate glucagon administration is the priority to quickly elevate blood glucose levels. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Alanine aminotransferase (ALT) monitors liver function. While captopril is metabolized by the liver, it is not the most critical value to monitor. Elevated ALT may indicate liver damage, but it is not a primary concern with captopril.
Choice B rationale
Thyroid-stimulating hormone (TSH) is related to thyroid function. Captopril does not typically affect thyroid function, so monitoring TSH levels is not a priority. The focus is on electrolytes and kidney function with captopril.
Choice C rationale
Potassium monitoring is essential due to the risk of hyperkalemia with captopril. Captopril, an ACE inhibitor, can increase potassium levels by reducing aldosterone secretion. Normal potassium range is 3.5 to 5 mEq/L.
Choice D rationale
Magnesium levels are important for various bodily functions, but captopril does not significantly affect magnesium. Monitoring potassium and renal function is more critical due to the potential for hyperkalemia with captopril. .
Correct Answer is A
Explanation
Choice A rationale
Acetylcysteine is the antidote for acetaminophen toxicity. It replenishes glutathione stores and detoxifies N-acetyl-p-benzoquinone imine (NAPQI), a toxic metabolite, preventing liver damage.
Choice B rationale
Acetylcysteine does not have a role in treating gastrointestinal bleeds. Management of gastrointestinal bleeds typically involves hemostatic agents, proton pump inhibitors, and endoscopic interventions.
Choice C rationale
Acute bronchospasm is treated with bronchodilators like albuterol, not acetylcysteine. While acetylcysteine is a mucolytic, it does not address bronchoconstriction or airway inflammation.
Choice D rationale
Morphine toxicity is treated with naloxone, an opioid antagonist. Acetylcysteine has no effect on opioid receptors and cannot reverse the central nervous system and respiratory depression caused by morphine.
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