A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?
Hyperglycemia
Hypovolemia
Hypercalcemia
Hypokalemia
The Correct Answer is A
Choice A reason: An IV infusion of dextrose 10% in water can cause hyperglycemia, which is an elevated blood sugar
level.
Choice B reason: Hypovolemia, or decreased blood volume, is not a typical adverse effect of dextrose infusion.
Choice C reason: Hypercalcemia, or high calcium levels in the blood, is not associated with dextrose infusion.
Choice D reason: While dextrose infusion can affect electrolyte balance, hypokalemia, or low potassium levels, is not
the primary concern with dextrose infusion.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Having the client place their head between their knees may help with some causes of hyperventilation, but it is not a standard treatment for respiratory alkalosis.
Choice B reason: Having the client breathe into a paper bag can help to rebreathe exhaled carbon dioxide, which can
help correct the low carbon dioxide levels seen in respiratory alkalosis.
Choice C reason: Insulin is not indicated for respiratory alkalosis as it is used for the management of hyperglycemia, not for correcting acid-base imbalances.
Choice D reason: Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis, and could
exacerbate the alkalosis.
Correct Answer is D
Explanation
Choice A reason: Sterile gloves are not required for inserting an NG tube; clean gloves are sufficient as the nasal
cavity is not a sterile environment.
Choice B reason: The client should not be asked to cough while inserting the NG tube as this could disrupt the placement process. Instead, the client may be asked to swallow to facilitate the passage of the tube.
Choice C reason: Placing the client into a left lateral position is not the standard position for NG tube insertion. The
client should be in an upright or semi-Fowler's position to aid in the insertion process.
Choice D reason: Determining the length of the NG tube to be inserted is a crucial step to ensure that the tube
reaches the stomach without coiling in the esophagus or extending into the small intestine.
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