A nurse observes mild hand tremors in a client who has diabetes mellitus. What actions should the nurse take after obtaining a glucose meter reading of 60 mg/dL?
Retest the blood glucose level.
Administer 15 g of carbohydrates
Administer 1 mg of glucagon IM.
Administer IV dextrose.
The Correct Answer is B
A. Retesting blood glucose can be done but should not delay treatment when hypoglycemia is confirmed at 60 mg/dL.
B. A glucose level of 60 mg/dL indicates mild hypoglycemia. The appropriate initial treatment is to administer 15 g of fast-acting carbohydrates (e.g., glucose tablets, juice) to quickly raise blood glucose.
C. Glucagon IM is reserved for severe hypoglycemia when the client is unconscious or unable to take oral carbohydrates.
D. IV dextrose is used in severe hypoglycemia or when oral intake is not possible; this client has mild symptoms and can likely swallow safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The typical lifting restriction after laparoscopic cholecystectomy is less than 10 pounds, and usually for about 1 week, not 6 weeks.
B. A fever of 100°F (37.7°C) or higher for two days may indicate infection and requires medical evaluation.
C. Clients are generally advised not to drive immediately after surgery, especially if they are taking pain medications.
D. While some assistance may be needed initially, a full week of supervision is usually not required after laparoscopic cholecystectomy.
Correct Answer is A
Explanation
A. Splinting the incision with a pillow helps reduce pain and allows more effective coughing.
B. Deep breathing and coughing should be performed more frequently than every 4 hours, usually every 1-2 hours.
C. Pain medication should be taken before performing exercises to facilitate effective breathing and coughing, not after.
D. The incentive spirometer should be used frequently, including while in bed, not only after getting out of bed.
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