The nurse is caring for a patient with type 2 diabetes who reports diaphoresis and palpitations. A blood glucose check reveals a level of 55 mg/dL. What is the nurse's immediate intervention?

Recheck blood glucose immediately.

Provide 15 grams of fast-acting carbohydrates.

Administer 1 mg of glucagon intramuscularly.

Prepare an insulin subcutaneous injection.

Answer and Explanation

The Correct Answer is B

Choice A reason: Rechecking blood glucose immediately is not the appropriate immediate intervention when a patient shows signs of hypoglycaemia with a blood glucose level of 55 mg/dL. Immediate treatment is needed to raise the blood glucose level to prevent further complications.

Choice B reason: Providing 15 grams of fast-acting carbohydrates is the immediate intervention for a patient with hypoglycaemia. Fast-acting carbohydrates such as glucose tablets, juice, or regular soda can quickly raise blood glucose levels. This intervention addresses the immediate need to correct hypoglycaemia symptoms such as diaphoresis and palpitations.

Choice C reason: Administering 1 mg of glucagon intramuscularly is typically reserved for severe hypoglycaemia when the patient is unconscious or unable to ingest carbohydrates. In this scenario, the patient is conscious and able to consume fast-acting carbohydrates.

Choice D reason: Preparing an insulin subcutaneous injection is not appropriate for treating hypoglycaemia. Insulin lowers blood glucose levels and would worsen the patient's hypoglycaemic state.

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Correct Answer is ["C"]

Explanation

Choice A reason: Administering a rapid infusion of fluids is not appropriate for disequilibrium syndrome. This syndrome results from rapid changes in fluid and electrolyte balance during dialysis, and rapid fluid infusion could worsen the condition.

Choice B reason: Increasing the dialysis flow rate is not appropriate. Decreasing the rate of dialysis can help reduce the symptoms of disequilibrium syndrome by allowing the body to adjust more gradually.

Choice C reason: Decreasing the rate of dialysis helps to minimize the rapid shifts in fluid and electrolytes, which can exacerbate disequilibrium syndrome.

Choice D reason: Applying ice packs to the patient's head is not a standard intervention for disequilibrium syndrome. The focus should be on managing the rate of dialysis and monitoring the patient's neurological status.

Choice E reason: Monitoring neurological status closely is important because disequilibrium syndrome can cause symptoms such as headache, nausea, confusion, and seizures. Close monitoring allows for prompt intervention if symptoms worsen.

A. Chronic renal disease B. Prolonged vomiting C. Hyperventilation D. Obstructive sleep apnea

Correct Answer is B

Explanation

Choice A reason: Chronic renal disease typically leads to metabolic acidosis, not alkalosis, due to the accumulation of acids that the kidney cannot excrete.

Choice B reason: Prolonged vomiting leads to the loss of hydrochloric acid from the stomach, which can result in metabolic alkalosis due to the imbalance caused by the loss of stomach acid.

Choice C reason: Hyperventilation leads to respiratory alkalosis due to the excessive exhalation of carbon dioxide, reducing hydrogen ion concentration in the blood.

Choice D reason: Obstructive sleep apnea is typically associated with respiratory acidosis, not metabolic alkalosis, due to episodes of hypoventilation during sleep.

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The nurse is caring for a patient with type 2 diabetes who reports diaphoresis and palpitations. A blood glucose check reveals a level of 55 mg/dL. What is the nurse's immediate intervention?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who is experiencing disequilibrium syndrome during hemodialysis. Which of the following interventions will the nurse implement for this patient? (Select All That Apply)

Correct Answer is ["C"]

Explanation

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Correct Answer is B

Explanation

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