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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. "I should apply this patch behind my ear.": This is correct because the scopolamine patch is designed to be applied behind the ear, where it can effectively deliver medication through the skin.
B. "This patch should be replaced every 7 days.": This is incorrect because the scopolamine patch should be replaced every 72 hours (3 days), not every 7 days.
C. "I should not use a second patch if the initial patch is ineffective.": This is correct because using more than one patch at a time can lead to an overdose of the medication, which can cause serious side effects.
D. "Before putting on my patch, I should wipe the area with an alcohol swab.": This is incorrect because using an alcohol swab can irritate the skin and affect the absorption of the medication. The area should be clean and dry, but not cleaned with alcohol.
Correct Answer is C
Explanation
A. Nausea is the symptom prochlorperazine is intended to treat, so its occurrence would suggest that the medication is not effective rather than being a complication.
B. Prolonged QT interval is not a typical complication of prochlorperazine; it is more commonly associated with medications like ondansetron.
C. Restlessness can indicate akathisia, a potential extrapyramidal side effect of prochlorperazine. This condition involves an intense feeling of restlessness and the need to move, commonly associated with dopamine antagonists.
D. Vomiting is a symptom treated by prochlorperazine and would likely occur due to inadequate control rather than being a complication of the drug itself.
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