The nurse misreads the 0700 POC blood glucose result as 210 mg/dL instead of 120 mg/dL on a patient with type I DM. The sliding scale regular insulin is given based on the incorrect reading. The nurse realizes the mistake 45 minutes later. What is the nurses priority action?

Complete an incident report

Contact the provider

Administer a snack with 15 grams of carbohydrates

Check the blood glucose level

Answer and Explanation

The Correct Answer is D

A. Completing an incident report is important for documentation and quality improvement, but it is not the immediate priority.
B. Contacting the provider is appropriate after assessing the patient’s current status.
C. Administering a carbohydrate snack may be necessary if the blood glucose is low, but it should be guided by actual glucose results.
D. The priority is to assess the client’s current blood glucose level to determine if hypoglycemia is developing due to unnecessary insulin administration. This ensures that timely corrective measures can be taken based on the actual reading.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Nausea and vomiting are common symptoms of acute pancreatitis and are expected.
B. A low-grade fever can occur with inflammation and is also a typical finding.
C. Absent bowel sounds may indicate the development of paralytic ileus or peritonitis, both of which are serious complications of acute pancreatitis and require immediate medical attention.
D. Tachycardia may occur due to pain, fever, or dehydration, but is less immediately concerning than absent bowel sounds indicating potential gastrointestinal compromise.

A. "I need to practice safe sex to prevent spreading the virus." B. "I can donate blood once I feel better." C. "I should eat a well-balanced diet to support liver health." D. "I should avoid drinking alcohol."

Correct Answer is D

Explanation

A. While practicing safe sex is important to prevent transmission of hepatitis B, it does not address the patient’s question about metformin and liver health.
B. Clients with hepatitis B should not donate blood due to the risk of virus transmission, but this is unrelated to metformin use.
C. A well-balanced diet is important for liver health, but this is a general recommendation and does not directly relate to the concern about blood sugar or medication use.
D. Metformin is processed in the liver, and in individuals with hepatitis B (a liver disease), alcohol can worsen liver damage. The best response is to avoid alcohol, as it could compound liver injury when using liver-metabolized medications like metformin.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse misreads the 0700 POC blood glucose result as 210 mg/dL instead of 120 mg/dL on a patient with type I DM. The sliding scale regular insulin is given based on the incorrect reading. The nurse realizes the mistake 45 minutes later. What is the nurses priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with acute pancreatitis is experiencing severe abdominal pain. Which additional finding would concern the nurse the most? Select one:

Correct Answer is C

Explanation

A patient with hepatitis B tells the nurse “I heard metformin decreases blood sugar.” What is the best response by the nurse? Select one:

Correct Answer is D

Explanation

A "time out" occurs before surgery begins while all members of the team are present. The time out process occurs as a final verification of: Select one:

When a client is first admitted with hyperglycemic hyperosmolar syndrome (HHS), the nurse's priority action is which of the following? Select one:

Which person is responsible for verifying that the consent form is signed and that the surgical site is clearly marked? Select one:

The nurse misreads the 0700 POC blood glucose result as 210 mg/dL instead of 120 mg/dL on a patient with type I DM. The sliding scale regular insulin is given based on the incorrect reading. The nurse realizes the mistake 45 minutes later. What is the nurses priority action?

The nurse educates the 40-year-old female patient about the American Cancer Society (ACS) recommendations for early cancer detection. Which information should she include when teaching? Select one:

A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect? Select one: