Which test results require the most immediate action by the nurse?
Glycosylated hemoglobin (Hgb A1C) level of 7.5
Random plasma glucose level of 205
A blood glucose prior to the noon meal of 45
Fasting blood glucose level of 300.
The Correct Answer is C
A. This level indicates average blood glucose over the past 2-3 months and is higher than the target range (usually under 7% for many patients with diabetes). While this result suggests the need for adjustments in management, it is not an immediate emergency.
B. A random plasma glucose level of 205 mg/dL indicates hyperglycemia, but it is not typically considered an immediate danger unless accompanied by symptoms of hyperglycemia. This level would warrant further monitoring and possibly an adjustment in treatment, but it doesn't require urgent intervention.
C. A blood glucose level of 45 mg/dL indicates hypoglycemia, which is a critical condition that requires immediate action. Hypoglycemia can lead to symptoms such as confusion, seizures, or loss of consciousness, and it must be addressed quickly, usually with fast-acting carbohydrates.
D. While a fasting blood glucose level of 300 mg/dL indicates significant hyperglycemia, it does not require immediate action like hypoglycemia does. This level indicates a need for further management but is not acutely dangerous compared to a severely low blood glucose level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This level indicates average blood glucose over the past 2-3 months and is higher than the target range (usually under 7% for many patients with diabetes). While this result suggests the need for adjustments in management, it is not an immediate emergency.
B. A random plasma glucose level of 205 mg/dL indicates hyperglycemia, but it is not typically considered an immediate danger unless accompanied by symptoms of hyperglycemia. This level would warrant further monitoring and possibly an adjustment in treatment, but it doesn't require urgent intervention.
C. A blood glucose level of 45 mg/dL indicates hypoglycemia, which is a critical condition that requires immediate action. Hypoglycemia can lead to symptoms such as confusion, seizures, or loss of consciousness, and it must be addressed quickly, usually with fast-acting carbohydrates.
D. While a fasting blood glucose level of 300 mg/dL indicates significant hyperglycemia, it does not require immediate action like hypoglycemia does. This level indicates a need for further management but is not acutely dangerous compared to a severely low blood glucose level.
Correct Answer is B
Explanation
A. Fluoroquinolones, such as ciprofloxacin and levofloxacin, do not have a known significant interaction with neuromuscular blockers. They can generally be used safely in patients receiving neuromuscular blockade.
B. Aminoglycosides (such as gentamicin, tobramycin, and amikacin) can potentiate the effects of neuromuscular blockers and may lead to increased neuromuscular blockade. This can result in respiratory depression or paralysis, making them contraindicated in patients receiving neuromuscular blockers.
C. Carbapenems (such as meropenem and imipenem) do not typically have a significant interaction with neuromuscular blockers. They can generally be used safely, although careful monitoring is always recommended in patients with neuromuscular blockade.
D. Macrolides (such as azithromycin and erythromycin) do not have a major contraindication with neuromuscular blockers. While they can affect certain neuromuscular transmission processes, they are not typically contraindicated in this context.
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