The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes.
Which action should the PN take?
Administer the medication.
Notify the healthcare provider.
Obtain another finger stick blood glucose level.
Hold the medication until the meal tray arrives.
The Correct Answer is D
The correct answer is Choice D, Hold the medication until the meal tray arrives. Acarbose is an oral antidiabetic medication that works by slowing the digestion of carbohydrates in the small intestine, thereby reducing the rise in blood glucose after meals. It is important to take acarbose at the start of each main meal, as it works on the food that is consumed. If the meal is delayed, the medication should also be delayed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale
Cyclosporine is a medication used to prevent organ rejection in transplant patients. Grapefruit and grapefruit juice should be avoided by patients taking cyclosporine as it may alter the drug’s metabolism, making the drug’s actions unpredictable.
Choice A rationale
There is no specific restriction on consuming potatoes for patients taking cyclosporine.
Choice B rationale
There is no specific restriction on consuming eggs for patients taking cyclosporine.
Choice D rationale
There is no specific restriction on consuming spinach for patients taking cyclosporine.
Correct Answer is A
Explanation
Choice A rationale
If a child undergoing a blood transfusion complains of itchy skin and appears flushed, these
could be signs of a transfusion reaction. The PN should stop the transfusion immediately.
Choice B rationale
While inspecting the infusion site is a part of regular monitoring during a transfusion, it would
not typically be the first action in response to symptoms of a possible transfusion reaction.
Choice C rationale
Applying lotion to the skin would not address the underlying issue if the child is experiencing a
transfusion reaction.
Choice D rationale
Checking the vital signs is important, but the first action should be to stop the transfusion if a
reaction is suspected.
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