While hospitalized and recovering from an episode of diabetic ketoacidosis, the client calls the nurse and reports feeling anxious, nervous, and sweaty. What is the nurse's priority action based on the client's report?

Have the client drink 8 ounces of Coca-Cola.

Administer 1 mg of glucagon subcutaneously.

Administer a glucose tablet.

Obtain a glucose reading using a finger stick

Answer and Explanation

The Correct Answer is D

A. While Coca-Cola contains sugar and could raise blood glucose, it should not be given without first confirming hypoglycemia through a blood glucose reading.
B. Glucagon is typically reserved for severe hypoglycemia when the client is unconscious or unable to swallow. This client is conscious and able to communicate symptoms.
C. Administering glucose tablets is appropriate after confirming hypoglycemia, not before.
D. The client’s symptoms—anxiety, nervousness, and sweating—are classic signs of hypoglycemia. The nurse’s priority is to obtain a glucose reading via finger stick to assess the client’s current glucose level before initiating treatment.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. A tight seal between the lips and mouthpiece is necessary to effectively use the incentive spirometer.
B. Inhalation should be slow and deep, not rapid, to maximize lung expansion.
C. The breath should be held for about 3 to 5 seconds, not 20 seconds, to prevent dizziness.
D. Sitting up or elevating the head of the bed improves lung expansion and enhances the effectiveness of the incentive spirometer.

A. Initiate IV therapy 0.9% NS at 125 mL/hr B. Bedrest with bathroom privileges C. Weigh the client daily D. Low-fat, low-carbohydrate diet

Correct Answer is D

Explanation

A. IV fluids are essential to maintain hydration and support circulation in acute pancreatitis.
B. Bedrest helps reduce metabolic demand and discomfort.
C. Daily weighing helps monitor fluid balance and edema.
D. Clients with acute pancreatitis are typically NPO initially to rest the pancreas; introducing diet too early, even low-fat, is contraindicated until inflammation subsides.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

While hospitalized and recovering from an episode of diabetic ketoacidosis, the client calls the nurse and reports feeling anxious, nervous, and sweaty. What is the nurse's priority action based on the client's report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a preoperative teaching plan about using an incentive spirometer. Which of the following should the nurse include in the teaching plan?

Correct Answer is D

Explanation

The client is diagnosed with acute pancreatitis. Which health care provider's admitting order should the nurse question?

Correct Answer is D

Explanation

A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?

A nurse observes mild hand tremors in a client who has diabetes mellitus. What actions should the nurse take after obtaining a glucose meter reading of 60 mg/dL?

A nurse is caring for a client who has type 2 diabetes mellitus, and their glucose levels are rising. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?

A client who has Type 2 diabetes mellitus asks the nurse, "Why did I develop diabetes?" Which of the following responses should the nurse make?

A nurse is caring for a client who has uncontrolled type 1 diabetes mellitus. Which of the following findings should the nurse expect?

Which action most effectively prevents pneumonia and promotes healthy pulmonary function after surgery?

While hospitalized and recovering from an episode of diabetic ketoacidosis, the client calls the nurse and reports feeling anxious, nervous, and sweaty. What is the nurse's priority action based on the client's report?