Three hours after self-administering regular insulin subcutaneously, the client contacts you at the provider's office by telephone to report that she is shaking, sweating, and has a rapid pulse. Which of the following actions should you NOT advise her to take? (Select All That Apply.)
Take an oral hypoglycemic agent.
Self-administer a long-acting insulin.
Check her blood glucose level.
Drink 4 ounces of orange juice.
Correct Answer : A,B
A. Taking an oral hypoglycemic agent is inappropriate in this situation. Oral agents are typically used for long-term management of type 2 diabetes and would not help in an acute hypoglycemic episode.
B. Self-administering a long-acting insulin would further lower blood glucose levels and exacerbate the hypoglycemic symptoms, making this an unsafe action.
C. Checking her blood glucose level is an appropriate first step to confirm the suspected hypoglycemia and determine the severity.
D. Drinking 4 ounces of orange juice is a correct intervention, as it provides a quick source of glucose to raise the blood sugar level and alleviate symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Dimenhydrinate is an antihistamine commonly used to treat motion sickness by reducing the stimulation of the vestibular system.
B. Metoclopramide is not used for motion sickness. Its primary use is for nausea and vomiting caused by conditions such as gastroparesis or chemotherapy, as it works by enhancing gastrointestinal motility.
C. Scopolamine is specifically indicated for motion sickness. It acts as an anticholinergic to reduce the effects of motion on the vestibular system.
D. Ondansetron is not used for motion sickness. It is a serotonin antagonist primarily used to treat nausea and vomiting associated with chemotherapy, radiation, or postoperative recovery.
Correct Answer is B
Explanation
A. Metformin does not typically cause hypoglycemia because it works by decreasing hepatic glucose production and improving insulin sensitivity, not directly lowering blood sugar levels.
B. Somnolence could indicate lactic acidosis, a rare but serious adverse effect of metformin that warrants immediate medical attention.
C. Fluid retention is not a known adverse effect of metformin. Other medications, such as certain thiazolidinediones, are associated with this complication.
D. Hyperglycemia is not a typical adverse effect of metformin; instead, it helps manage blood glucose levels in clients with type 2 diabetes mellitus.
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