The nurse is unable to get an IV line started on a client who is lethargic and unable to follow commands with a blood glucose of 30. The nurse should make what recommendation when giving SBAR report to the prescriber?
Diet cola PO
Dextrose 50% IV
Glucagon IM
Insulin glargine SQ
The Correct Answer is C
Choice A reason: Diet cola PO is not an appropriate recommendation for a client with a blood glucose of 30, because diet cola does not contain any sugar and will not raise the blood glucose level. Moreover, the client is lethargic and unable to follow commands, which means they may have difficulty swallowing and may aspirate the liquid.
Choice B reason: Dextrose 50% IV is a potential recommendation for a client with a blood glucose of 30, because it can rapidly increase the blood glucose level and reverse the symptoms of hypoglycemia. However, the nurse is unable to get an IV line started on the client, which makes this option impossible.
Choice C reason: Glucagon IM is the best recommendation for a client with a blood glucose of 30, because it can stimulate the liver to release glucose into the bloodstream and raise the blood glucose level. Glucagon can be given intramuscularly or subcutaneously, which does not require an IV access. Glucagon is usually given as an emergency treatment for severe hypoglycemia when the client is unconscious or unable to swallow.
Choice D reason: Insulin glargine SQ is not an appropriate recommendation for a client with a blood glucose of 30, because insulin glargine is a long-acting insulin that lowers the blood glucose level. Giving insulin to a client with hypoglycemia can worsen their condition and cause coma or death. ⁹
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.4"]
Explanation
Given:
Enoxaparin dose: 40 mg
Available concentration: 100 mg/mL
Step 1: Calculate the volume of enoxaparin to be administered in mL
Volume = Enoxaparin dose / Concentration
Volume = 40 mg / 100 mg/mL
Volume = 0.4 mL
Rounding to the nearest tenth:
Volume = 0.4 mL
Therefore, the nurse should administer 0.4 mL of enoxaparin subcutaneously for the prevention of deep vein thrombosis.
Correct Answer is A
Explanation
Choice A reason: This is correct. Somatropin is a synthetic form of human growth hormone (HGH), which stimulates the growth of bones and tissues. It is used to treat growth deficiency in children who have low or no natural HGH. The treatment is usually stopped when the growth plates (the areas of cartilage at the ends of the long bones) fuse, which marks the end of the growth period. This usually occurs around the age of 14-18 years for boys and 12-16 years for girls.
Choice B reason: This is incorrect. Somatropin is not intended for life-long treatment. It is only used to correct growth deficiency in children who have low or no natural HGH. Once the growth plates fuse, the treatment is discontinued.
Choice C reason: This is incorrect. Somatropin is not used for weight management. It is used to treat growth deficiency in children who have low or no natural HGH. The duration of the treatment depends on the individual growth potential and response to the medication, not on the weight goal.
Choice D reason: This is incorrect. Somatropin is not a short-term medication. It is used to treat growth deficiency in children who have low or no natural HGH. The treatment usually lasts for several years, until the growth plates fuse.
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