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 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.
Correct Answer is A
Explanation
Choice A rationale
Increasing fluid intake helps counteract the anticholinergic effects of amitriptyline, such as dry mouth and constipation, by maintaining adequate hydration and promoting gastrointestinal motility.
Choice B rationale
Amitriptyline commonly causes orthostatic hypotension rather than an elevation in blood pressure, particularly in the initial stages of treatment.
Choice C rationale
Orange urine discoloration is not a typical side effect of amitriptyline and does not necessitate stopping the medication; it is not a common adverse effect.
Choice D rationale
Taking amitriptyline in the morning is not recommended due to its sedative effects, which can cause daytime drowsiness and impair daily activities; it is better taken at bedtime. .
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.