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 B
Explanation
a) Antihistamines are generally considered safe during breastfeeding, but this statement does not address the safety during pregnancy.
b) The general recommendation is to avoid unnecessary medication use during pregnancy, including antihistamines, especially during the first trimester.
c) The margin of safety for antihistamines is not universally understood, and caution is advised during pregnancy.
d) While second-generation antihistamines are considered safer than first-generation ones, the safety of any medication during pregnancy should be discussed with a healthcare provider.
Correct Answer is B
Explanation
A) Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.
B) Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.
C) Stopping calcium supplements may not be necessary, but proper timing is crucial.
D) Taking the medications together can reduce the absorption of both, so they should be spaced apart.
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