On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. What is the immediate action taken by the nurse?
Obtain a glucometer reading.
Administer fruit juice.
Start an IV of dextrose.
Call the physician.
The Correct Answer is A
choice A, Obtain a glucometer reading. The immediate action taken by the nurse is to obtain a glucometer reading to determine the client's blood glucose level. The client's symptoms are suggestive of hypoglycemia, a condition that can lead to coma and seizures if left untreated. Administering fruit juice or starting an IV of dextrose without first checking the client's blood glucose level can worsen the condition if the client's blood glucose is high. The physician should be notified if the client's blood glucose level is critically low or high and if the client's condition does not improve after treatment.
B. Administering fruit juice can worsen the condition if the client's blood glucose is high.
C. Starting an IV of dextrose can worsen the condition if the client's blood glucose is high.
D. Calling the physician is not the immediate action, as the client needs urgent treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
"From birth through puberty." This period is the time of most rapid bone growth and development, which is crucial for the nurse to understand when educating clients on growth and development. Choices A, B, and C are not correct because they do not correspond with periods of bone growth and development.
Correct Answer is C
Explanation
Tendon. A tendon is a fibrous connective tissue that connects muscle to bone. Musculoskeletal injuries that involve tendons can result from overuse, trauma, or degeneration. Tendinitis, for example, is a common condition characterized by inflammation of a tendon.
Choice A, Joint, is incorrect because a joint is the point of articulation between two or more bones.
Choice B, Cartilage, is incorrect because cartilage is a tough, flexible connective tissue that cushions joints and supports various structures in the body.
Choice D, Ligament, is incorrect because a ligament is a fibrous connective tissue that connects bone to bone and provides stability to joints.
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