A patient is recovering from an episode of diabetic ketoacidosis and reports feeling “anxious, shaky, and sweaty.”. What should be the nurse’s initial action?

Obtain a full set of vital signs.

Administer 1 mg glucagon subcutaneously.

Administer 25 mL of 50% dextrose.

Obtain a blood glucose reading.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While obtaining a full set of vital signs is an important part of assessing a patient’s condition, it should not be the initial action in this case. The symptoms described by the patient suggest hypoglycemia, which requires immediate confirmation and treatment.

Choice B rationale

Administering 1 mg glucagon subcutaneously is not the initial action. Glucagon is used to treat severe hypoglycemia when the patient is unable to take glucose orally. However, the patient’s blood glucose level should be checked first.

Choice C rationale

Administering 25 mL of 50% dextrose is not the initial action. This treatment is used for severe hypoglycemia, but the patient’s blood glucose level should be checked first to confirm hypoglycemia.

Choice D rationale

Obtaining a blood glucose reading is the correct initial action. The symptoms described by the patient suggest hypoglycemia. Checking the blood glucose level will confirm whether the patient is hypoglycemic and needs treatment.

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Correct Answer is B

Explanation

Choice A rationale

Pseudomembranous colitis and crystalluria are not typically associated with gentamicin use.

Choice B rationale

Gentamicin can cause ototoxicity, which can manifest as tinnitus (ringing in the ears), vertigo (a sensation of spinning), and hearing loss. Headaches can also occur as a side effect of gentamicin.

Choice C rationale

While gentamicin can cause nephrotoxicity (kidney damage), which could potentially affect electrolyte levels, a potassium level of 3.5 mg/dL is within the normal range. Therefore, this would not typically be assessed as a toxic effect of gentamicin.

Choice D rationale

Hypoglycemia and cardiac dysrhythmias are not typically associated with gentamicin use.

A. NSAID such as ibuprofen. B. Antipyretic such as acetaminophen. C. Narcotic analgesic such as codeine. D. Anticonvulsant such as gabapentin.

Correct Answer is D

Explanation

Choice A rationale

NSAIDs such as ibuprofen are commonly used to manage pain and inflammation. However, they are not typically the first choice for treating phantom limb pain. Phantom limb pain is a complex condition that is thought to involve both peripheral and central mechanisms.

Choice B rationale

Antipyretics such as acetaminophen are used to reduce fever and relieve mild to moderate pain. However, they are not typically used as the primary treatment for phantom limb pain. This type of pain is often resistant to common analgesics, including acetaminophen.

Choice C rationale

Narcotic analgesics such as codeine can be used to manage severe pain. However, they are not typically the first choice for treating phantom limb pain due to the risk of dependency and the fact that this type of pain often does not respond well to opioids.

Choice D rationale

Anticonvulsants such as gabapentin are often used to manage neuropathic pain, including phantom limb pain. Gabapentin works by stabilizing electrical activity in the nervous system and altering the way the nerves send messages to the brain.

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A patient is recovering from an episode of diabetic ketoacidosis and reports feeling “anxious, shaky, and sweaty.”. What should be the nurse’s initial action?

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is monitoring a client receiving gentamicin. Which of the following would the nurse assess as potential toxic effects of this medication?

Correct Answer is B

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Which prescribed medication for the client recovering from a traumatic amputation does the nurse correlate to the treatment of phantom limb pain?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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