An older adult client, who has type 2 diabetes mellitus (DM), is at an adult daycare center. The client becomes diaphoretic, confused, and unable to interact with the other daycare participants. The client tells the practical nurse (PN), "I just don't feel right." Which initial action should the PN take?
Give 4 oz (120 mL) of apple juice.
Administer glucagon 0.5 mg IM.
Assess temperature.
Evaluate deep tendon reflexes.
The Correct Answer is A
A. Give 4 oz (120 mL) of apple juice:
Diaphoresis, confusion, and “not feeling right” indicate hypoglycemia. Rapid-acting carbohydrates should be given immediately if the client can swallow.
B. Administer glucagon 0.5 mg IM:
Used if the client is unconscious or unable to swallow safely.
C. Assess temperature:
Does not address the immediate risk of hypoglycemia.
D. Evaluate deep tendon reflexes:
Not relevant to urgent management of suspected hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Participating in the client's care within his/her capabilities and desires: Involving the spouse supports coping, emotional connection, and shared decision-making.
B. Information about palliative and hospice care services: Important but may be more helpful once the family has processed the diagnosis further.
C. Consultation with the case manager and hospital chaplain: Useful but not the most immediate supportive intervention.
D. Visiting after procedures are done to avoid seeing the client in pain: Avoidance can increase anxiety and feelings of helplessness.
Correct Answer is C
Explanation
A. Nausea: Nonspecific; not an immediate reason to hold unless severe.
B. Headache: Common but nonspecific; not priority for holding medication.
C. Dizziness: May indicate hypotension or electrolyte imbalance - possible adverse effect needing assessment before administration.
D. Nervousness: Uncommon effect; not typically a reason to withhold.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.