The nurse is caring for a client who has a finger stick blood glucose level of 130 mg/dL (7.21 mmol/L) Prior to administering the scheduled dose of acarbose, the nurse is informed that morning meal trays will be 30 minutes late. Which action should the nurse take?

Reference Range:

Glucose [74 to 106 mg/dl. (4.1 to 5.9 mmol/L)]

Administer the medication

Notify the healthcare provider.

Hold the medication until the meal trays arrive.

Obtain another finger tick blood glucose level.

Answer and Explanation

The Correct Answer is C

A. Administer the medication: Acarbose is an alpha-glucosidase inhibitor that should be taken with the first bite of a meal to effectively manage postprandial blood glucose levels. Administering it before the meal is inappropriate as it can lead to inadequate glucose control.
B. Notify the healthcare provider: While notifying the healthcare provider might be necessary if there are significant issues, it is not the immediate action needed in this situation. The priority is to manage the timing of the medication relative to the meal.
C. Hold the medication until the meal trays arrive: Acarbose should be taken with food to work effectively in controlling blood glucose levels after meals. If the meal is delayed, the medication should be held until the meal is ready to ensure proper administration.
D. Obtain another finger stick blood glucose level: Rechecking the blood glucose level does not address the issue of the timing of the acarbose administration. The focus should be on ensuring the medication is taken with the meal.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Until a smaller angle can be restored: Open-angle glaucoma is characterized by a gradual increase in intraocular pressure due to the obstruction of the outflow of aqueous humor, not by a narrow angle. The treatment aims to control eye pressure rather than restore the angle, which is more relevant to acute angle-closure glaucoma.
B. For long-term control of normal eye pressure: Open-angle glaucoma is a chronic condition that requires ongoing management to maintain normal intraocular pressure and prevent damage to the optic nerve. The prescribed eye drops help in managing intraocular pressure over the long term to prevent vision loss.
C. For long-term control of pain and swelling: Open-angle glaucoma typically does not present with pain and swelling. The goal of treatment is to control intraocular pressure rather than address pain or swelling, which are not primary symptoms of this condition.
D. Until the excess pressure is reduced: While initial treatment aims to reduce intraocular pressure, open-angle glaucoma requires ongoing use of medications to maintain normal pressure levels and prevent progression of the disease. Discontinuing the medication after initial pressure reduction can lead to a return of elevated intraocular pressure.

A. Fingerstick glucose. B. Stool color and character. C. Serum hepatic enzymes. D. Serum electrolytes and ammonia.

Correct Answer is D

Explanation

A. Fingerstick glucose: While important in managing diabetes or hypoglycemia, it is not directly related to evaluating the effectiveness of lactulose in treating hepatic encephalopathy.
B. Stool color and character: Lactulose acts as a laxative, and its effectiveness can affect stool characteristics. However, stool color and character are less direct indicators of therapeutic response compared to serum ammonia levels.
C. Serum hepatic enzymes: While liver enzyme levels can provide information about liver function, they do not directly measure the effectiveness of lactulose in managing hepatic encephalopathy. Serum ammonia levels are more specific for this purpose.
D. Serum electrolytes and ammonia: Lactulose is used to treat hepatic encephalopathy by reducing blood ammonia levels. Monitoring serum ammonia levels provides direct feedback on the effectiveness of the medication in treating hepatic encephalopathy. Additionally, serum electrolytes should be monitored because lactulose can lead to electrolyte imbalances due to its laxative effect.

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A patient with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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