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

Answer and Explanation

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

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Correct Answer is A

Explanation

Choice A reason: This is correct because high lipid levels, such as cholesterol and triglycerides, are a risk factor for cardiovascular disease. HMG-CoA reductase inhibitors, also known as statins, lower the production of cholesterol in the liver and reduce the risk of heart attack and stroke.

Choice B reason: This is incorrect because blood glucose of 60 is not related to the need for an HMG-CoA reductase inhibitor. Blood glucose of 60 is below the normal range and may indicate hypoglycemia, which is a low blood sugar level. Hypoglycemia can cause symptoms such as dizziness, confusion, sweating, and hunger.

Choice C reason: This is incorrect because platelets over 150,000 are not related to the need for an HMG-CoA reductase inhibitor. Platelets are blood cells that help with clotting and prevent bleeding. The normal range of platelets is 150,000 to 450,000 per microliter of blood. Platelets over 150,000 are within the normal range and do not indicate a problem.

Choice D reason: This is incorrect because low INR is not related to the need for an HMG-CoA reductase inhibitor. INR stands for international normalized ratio and is a measure of how long it takes the blood to clot. The normal range of INR is 0.8 to 1.2. Low INR means the blood clots faster than normal and may indicate a risk of thrombosis, which is a blood clot in a vein or artery.

Correct Answer is ["8"]

Explanation

To calculate the amount of phenytoin oral suspension to administer, we can use the following formula:

Amount to administer (mL) = (Desired dose (mg) / Available dose (mg/mL))

Plugging in the given values:

Amount to administer (mL) = (200 mg / 125 mg/5 mL)

Now, let's solve for the amount to administer:

Amount to administer (mL) = (200 mg / 125 mg/5 mL) = (200 / 125) 5 = 8

So, the nurse should administer 8 mL of phenytoin oral suspension via the gastrostomy tube.

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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?

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Naxlex Comprehensive Predictor Exams

What labs would indicate a client may need a prescription for an HMG-CoA reductase inhibitor, such as atorvastatin?

Correct Answer is A

Explanation

A nurse is preparing to administer phenytoin 200 mg via a gastrostomy tube. Available is phenytoin oral suspension 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["8"]

Explanation

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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?