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.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Cryosurgery is used for tumors in patients who are not surgical candidates but is not the primary treatment for resectable, localized liver cancer.
B. Liver transplantation is considered when cancer involves both lobes or in the presence of underlying liver disease (e.g., cirrhosis), not when the tumor is confined to one lobe.
C. Lobectomy (surgical resection of the affected lobe) is the preferred treatment when hepatocellular carcinoma is localized to one lobe and the remaining liver tissue is healthy.
D. Laser hyperthermia is an investigational or palliative technique and is not considered first-line treatment for localized HCC.

A. "I will need to have your medications adjusted, so you will need to be readmitted to the hospital for a complete workup." B. "Limiting your fluids can create imbalances that can result in confusion, so let's try adjusting the timing of your fluids." C. "It is normal to be a little confused following surgery, and it is safe not to urinate at night." D. "Confusion and bladder issues are a normal consequence of aging, so I am not too concerned."

Correct Answer is B

Explanation

A. Hospital readmission is premature at this stage and may not be necessary if the issue can be addressed with education and support.
B. This response addresses the root problem — inadequate fluid intake — and offers a practical solution that promotes hydration while respecting the client’s concern about nocturia. Dehydration can lead to electrolyte imbalances and confusion, especially in older adults.
C. Confusion is not a normal post-op state and should never be dismissed. Urination at night is common but should not come at the expense of hydration.
D. While aging can bring some changes, confusion and dehydration should never be considered normal or acceptable and require assessment and intervention.

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Naxlex Comprehensive Predictor Exams

Diagnostic testing has revealed that a client's hepatocellular carcinoma (HCC) is limited to one lobe. The nurse should anticipate that this client's plan of care will focus on what intervention?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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