Intramuscular glucagon is administered to an unresponsive patient for treatment of hypoglycemia. Which action should the nurse take after the patient regains consciousness?
Assess the patient for symptoms of hyperglycemia
Administer a continuous infusion of 5% dextrose for 24 hours.
Give the patient a snack of crackers and peanut butter.
Have the patient drink a glass of orange juice or nonfat milk.
The Correct Answer is D
A. Assess the patient for symptoms of hyperglycemia: The immediate concern after glucagon is preventing recurrent hypoglycemia, not hyperglycemia.
B. Administer a continuous infusion of 5% dextrose for 24 hours: Usually not required if the patient can tolerate oral intake and glucose stabilizes.
C. Give the patient a snack of crackers and peanut butter: Reasonable, but solid snack may be harder to tolerate immediately after an episode -liquids are recommended first if swallowing is safe.
D. Have the patient drink a glass of orange juice or nonfat milk: Once the patient is awake and able to swallow, give a quick source of oral carbohydrate (juice or milk) followed by a snack to replenish glycogen and prevent rebound hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "The medication should stop the pain right away": Famotidine reduces acid production but does not provide immediate pain relief like antacids might.
B. "The medication coats the lining of my stomach.": Coating agents (sucralfate, bismuth) coat the mucosa; famotidine is an H2 blocker that decreases acid secretion.
C. "I will monitor for bleeding from my nose.": Nosebleeds are not a typical effect to monitor specifically with famotidine.
D. "I will take my pill 1 hour before meals.": Taking an H2 blocker before meals can reduce meal-stimulated acid secretion and is appropriate patient teaching.
Correct Answer is A
Explanation
A. Relief of muscle spasms: Cyclobenzaprine is a centrally acting skeletal muscle relaxant prescribed to relieve acute muscle spasms and associated pain.
B. Decrease in fasting blood glucose: Cyclobenzaprine does not affect blood glucose levels.
C. Relief of migraine headache: Cyclobenzaprine is not a primary treatment for migraine.
D. Decrease in cardiac dysrhythmias: Cyclobenzaprine does not treat cardiac dysrhythmias and may cause anticholinergic effects.
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