A client, who just took his first dose of glipizide, is now experiencing tremors, pallor, and agitation. How should the nurse respond?
Acknowledge how hard a diagnosis of diabetes can be and offer to listen.
Check the blood glucose and give carbohydrates if the client is hypoglycemic.
Ask the clients family to come to sit with him until the client's panic attack subsides.
Give diphenhydramine per standing order for this allergic reaction.
The Correct Answer is B
a) The symptoms described are indicative of hypoglycemia, and addressing the client's emotional state or offering to listen does not address the immediate medical issue.
b) Checking the blood glucose level is crucial to determine if the symptoms are due to hypoglycemia, and providing carbohydrates can help raise the blood sugar level promptly.
c) Assuming a panic attack without assessing the potential hypoglycemic state could delay appropriate intervention.
d) The symptoms described are not consistent with an allergic reaction, so giving diphenhydramine is not the appropriate response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This is not the correct duration for insulin glargine. Insulin glargine has a much longer duration.
B) The duration of 2 to 4 hours is too short for insulin glargine.
C) Insulin glargine is a long-acting insulin with a duration of 18 to 24 hours.
D) The duration of 6 to 14 hours is too short for insulin glargine.
Correct Answer is A
Explanation
a) An elevated temperature could indicate an infection, which is a serious concern in a client taking steroids, as steroids can suppress the immune system. This finding should be reported immediately.
b) Blood pressure within this range is generally acceptable and may not be a cause for immediate concern.
c) A glucose level of 128 mg/dl is within a reasonable range and may not require immediate reporting unless there are other concerning factors.
d) A heart rate of 102 beats per minute is generally within an acceptable range and may not be an immediate cause for concern in the absence of other symptoms.
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