A nurse is caring for a client who is diagnosed with diabetes mellitus type 2. The client received insulin via the subcutaneous (SQ) route, which was given by the primary nurse and verified with a secondary nurse. One hour after administration, the client was not able to follow commands with a blood glucose reading of 30 mg/dL. The nurse should expect an order for which of the following medications?
Metformin (Glucophage)
Glucagon (GlucaGen)
Glipizide (Glucotrol)
Insulin
The Correct Answer is B
A. Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B. Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C. Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D. Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Butorphanol (Stadol) is an opioid agonist-antagonist used for pain management. It is more likely to cause drowsiness or sedation rather than insomnia.
B. Abstinence syndrome, or withdrawal symptoms, can occur in patients who are dependent on opioids. Butorphanol can precipitate withdrawal symptoms in individuals who are dependent on opioid agonists.
C. Migraines are not a typical complication of butorphanol. However, butorphanol is used for pain relief, which can sometimes include migraines, but it does not cause them.
Correct Answer is C
Explanation
A. Nausea is a common symptom of the condition being treated with prochlorperazine (such as nausea from chemotherapy), but it is not a complication of the medication itself.
B. Anxiety is not a common complication of prochlorperazine. It is a dopamine antagonist, and while it may cause sedation, it is not known for causing anxiety.
C. Prochlorperazine is associated with cardiac side effects such as a prolonged QT interval, which can lead to arrhythmias. This is a serious complication and requires monitoring.
D. Vomiting is not a typical side effect of prochlorperazine; in fact, prochlorperazine is used to prevent nausea and vomiting.
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