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.

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Correct Answer is B

Explanation

A. While nausea and vomiting are common side effects of many chemotherapy agents, this is not specific to vesicants, which are drugs that can cause tissue damage if they leak outside the vein.
B. Vesicant chemotherapy agents can cause severe tissue damage, necrosis, and ulceration if they extravasate (leak into surrounding tissue). Close monitoring of the IV site for signs of redness, swelling, or pain is essential.
C. This may indicate gastrointestinal or bladder irritation from other types of chemotherapy agents, but it is not the hallmark concern with vesicants.
D. This is unrelated to vesicant properties. Orthostatic hypotension may occur from dehydration or autonomic effects, but not from vesicant infiltration.

A. "I take ibuprofen several times a day." B. "I try to jog at least 2 miles every day." C. "I never touched alcohol." D. "I just started a new diet."

Correct Answer is A

Explanation

A. NSAIDs like ibuprofen inhibit prostaglandin synthesis, which compromises the gastric mucosal barrier and can lead to acute gastritis.

B. Exercise is generally beneficial and is not associated with causing gastritis.

C. Alcohol is a known irritant to the gastric mucosa, but this patient denies alcohol use, making it unlikely as a cause.

D. A new diet, unless high in irritants or allergens, is not a direct cause of acute gastritis.

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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?

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Naxlex Comprehensive Predictor Exams

A patient receiving a chemotherapy agent that is a vesicant should be monitored for which adverse effect?

Correct Answer is B

Explanation

Which statement made by a patient might indicate a precipitating factor of acute gastritis? Select one:

Correct Answer is A

Explanation

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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?

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