A nursing is caring for a client who has been brought to the emergency department by paramedics after being found unconscious. The client's MedicAlert bracelet indicates that the client has type 1 diabetes and the client's blood glucose is 22 mg/dL (1.2 mmol/L). The nurse should anticipate what intervention?

IV administration of 50% dextrose in water

Subcutaneous administration of 10 units of Humalog

Subcutaneous administration of 12 to 15 units of regular insulin

IV bolus of 5% dextrose in 0.45% NaCl

Answer and Explanation

The Correct Answer is A

A. IV administration of 50% dextrose (D50W) is the appropriate emergency treatment for severe hypoglycemia in an unconscious patient. It rapidly raises blood glucose levels and is the standard of care in emergency situations.
B. Administering insulin (Humalog) would worsen hypoglycemia and is contraindicated.
C. Giving additional insulin in any form would further lower the already critically low blood glucose.
D. 5% dextrose in 0.45% NaCl is used for maintenance fluid therapy, not for treating acute, severe hypoglycemia.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B"]

Explanation

A. Immunization with the hepatitis B vaccine is the most effective way to prevent infection among healthcare workers.
B. Standard precautions (e.g., using gloves, proper hand hygiene, avoiding needle sticks) are essential to minimize exposure to bloodborne pathogens, including hepatitis B.
C. While a healthy diet supports immune function, it does not prevent hepatitis B transmission.
D. Vitamin K is used to treat bleeding disorders, not to prevent hepatitis B.
E. Vitamin B12 injections treat deficiency-related anemia but are unrelated to hepatitis B prevention.

A. Daily Weight B. Sodium level C. Tissue turgor D. Intake and output

Correct Answer is A

Explanation

A. Daily weight is the most reliable and sensitive indicator of fluid retention in clients with chronic kidney disease. A gain of 1 kg (2.2 lbs) typically equals about 1 liter of fluid.
B. Sodium levels can fluctuate due to dilution or other factors and are not a consistent indicator of fluid volume status.
C. Tissue turgor is more useful for assessing dehydration than fluid overload and can be affected by age and skin elasticity.
D. Intake and output are helpful but can be inaccurate due to insensible losses or recording errors; weight changes more directly reflect actual fluid status.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse educator is teaching a group of recent nursing graduates about their occupational risks for contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?

Correct Answer is A

Explanation

A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?

A nurse is conducting a class on how to self-manage insulin regimens. A client asks how long a vial of insulin can be stored at room temperature before it "goes bad." What would be the nurse's best answer?

A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self- administer insulin?

A nurse is assessing a patient on the medical floor who is being treated for pneumonia and reports sudden shortness of breath. An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21, PaCO2 64 mm Hg, HCO3 24 mm Hg. Which condition does the ABG reflect?

A nurse is working for the summer at a camp for adolescents with diabetes. When providing information on the prevention and management of hypoglycemia, what action should the nurse promote?

The nurse is working on a burn unit and an acutely ill client is exhibiting signs and symptoms of third spacing. Based on this change in status, the nurse should expect the client to exhibit signs and symptoms of which imbalance?

The nurse is teaching health promotion. What health promotion teaching should the nurse prioritize to prevent drug-induced hepatitis?

A nurse is caring for a client with pancreatic cancer who has been scheduled for a pancreaticoduodenectomy (Whipple procedure). During health education, the client should be informed that this procedure will involve the removal of which of the following? Select all that apply.