A client on glipizide, a sulfonylurea, reports to the nurse feeling anxious, sweaty & has a headache. The nurse's initial action is to:

take vital signs.

administer 1 mg glucagon subcutaneously.

obtain a blood glucose reading.

notify the physician.

Answer and Explanation

The Correct Answer is C

A.   While taking vital signs can provide useful information about the client's overall condition, it does not address the immediate concern of potential hypoglycemia. The priority is to assess blood glucose levels directly.
B.   Glucagon can be administered in cases of severe hypoglycemia where the patient is unable to ingest glucose orally. However, before administering glucagon, the nurse should first check the blood glucose level to confirm hypoglycemia.
C.   Checking the blood glucose level will provide immediate information about whether the client is experiencing hypoglycemia. If the blood glucose is low, appropriate treatment (such as administering glucose or a fast-acting carbohydrate) can be initiated. If it’s within normal limits, other causes for the symptoms can be explored.
D.   While it may be necessary to notify the physician depending on the outcome of the blood glucose reading or if the client’s condition worsens, it is not the first action. Immediate assessment of the blood glucose level is essential to determine the correct course of action.

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Correct Answer is D

Explanation

A. This is a symptom of urinary tract infection, not renal colic.
B. This indicates kidney damage, which may occur as a complication of untreated kidney stones, but it's not a typical symptom of renal colic itself.
C. This is not a symptom of renal colic.
D. This is a classic symptom of renal colic, which is caused by the passage of a kidney stone through the ureter. The pain is often described as excruciating and can radiate to the groin or testicle.

A. 0650 B. 0700 C. 0640 D. 0710

Correct Answer is B

Explanation

This timing allows for 30 minutes after administration. Since insulin lispro starts working in about 15 minutes, having breakfast at this time ensures that the client’s blood sugar is managed effectively without risking hypoglycemia.

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A client on glipizide, a sulfonylurea, reports to the nurse feeling anxious, sweaty & has a headache. The nurse's initial action is to:

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Naxlex Comprehensive Predictor Exams

Which observation by the nurse indicates that a male client diagnosed with kidney stones is experiencing renal colic?

Correct Answer is D

Explanation

The nurse administers 10 units of insulin lispro to a client at 0630 and anticipates that the client must have breakfast by:

Correct Answer is B

Explanation

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