A patient with type 1 diabetes mellitus has been prescribed a glucagon emergency kit for home use.
When should the nurse instruct the patient and family that glucagon needs to be administered?
Before meals to prevent hyperglycemia.
When signs of severe hypoglycemia occur.
When unable to eat during sick days.
At the onset of signs of diabetic ketoacidosis.
The Correct Answer is B
Choice A rationale
Glucagon should not be administered before meals to prevent hyperglycemia. Glucagon is a hormone that raises blood glucose levels and is used to treat severe hypoglycemia. It is not intended to prevent hyperglycemia.
Choice B rationale
Glucagon should be administered when signs of severe hypoglycemia occur. Hypoglycemia, or low blood sugar, can cause symptoms such as confusion, dizziness, hunger, and shakiness. If left untreated, severe hypoglycemia can lead to unconsciousness or seizures.
Choice C rationale
Glucagon should not be administered when unable to eat during sick days. While it’s important to maintain blood glucose levels during illness, glucagon is specifically used for severe hypoglycemia.
Choice D rationale
Glucagon should not be administered at the onset of signs of diabetic ketoacidosis. Diabetic ketoacidosis is a serious condition that requires immediate medical attention. Glucagon is not a treatment for this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Tamsulosin is an alpha-blocker that relaxes the smooth muscles of the prostate and bladder neck, improving urine flow. However, it can also cause hypotension, dizziness, and fainting as adverse effects. Therefore, monitoring blood pressure is essential for clients taking tamsulosin.
Choice B rationale
While assessing the client’s urine output is an important part of monitoring a client with benign prostatic hyperplasia, it is not specifically related to monitoring for adverse reactions to tamsulosin.
Choice C rationale
Performing a bladder scan can be useful in assessing the client’s urinary retention, a common symptom of benign prostatic hyperplasia. However, it is not specifically related to monitoring for adverse reactions to tamsulosin.
Choice D rationale
Obtaining the client’s daily weights can be useful in monitoring fluid balance, but it is not specifically related to monitoring for adverse reactions to tamsulosin.
Correct Answer is D
Explanation
Choice A rationale
Diarrhea is a potential side effect of metoclopramide, but it’s not typically considered a serious adverse effect that would require immediate reporting.
Choice B rationale
Unusual irritability can occur with metoclopramide use, but it’s not typically considered a serious adverse effect that would require immediate reporting.
Choice C rationale
Nausea is actually one of the conditions that metoclopramide is used to treat, so it would be unusual for it to cause this symptom.
Choice D rationale
Involuntary movements, or tardive dyskinesia, is a serious potential side effect of metoclopramide. If a patient develops this condition, it should be reported immediately.
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