A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Discontinue the infusion.
Administer IV dextrose.
Warm formula to room temperature.
Obtain arterial blood gases.
The Correct Answer is B
Hypoglycemia is a potential complication of parenteral nutrition, especially if the infusion rate is too high or if the infusion is interrupted. The nurse should promptly address hypoglycemia by administering IV dextrose, which will help raise the client's blood glucose levels.
A. Discontinuing the infusion may be necessary if the cause of hypoglycemia is related to the parenteral nutrition solution or if the infusion rate needs adjustment. However, the immediate priority is to treat the hypoglycemia by providing a glucose source.
C. Warming the formula to room temperature is not relevant to treating hypoglycemia. Warming the formula might be done for other reasons, such as improving tolerance or reducing discomfort during administration.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia. Arterial blood gases are typically obtained to assess oxygenation and acid-base balance, not glucose levels.
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Correct Answer is C
Explanation
Neuroleptic Malignant Syndrome (NMS) is a serious condition often associated with the administration of antipsychotic medications. Bromocriptine is a dopamine agonist used to D2 receptor blockade implicated in NMS. It improves the transmission of impulses in the dopaminergic neurons.
A-Benztropine is used in management of extrapyramidal effects of antipsychotics B-Naloxone is an opioid antagonist
D-Diphenhydramine is an antihistamine used in mild allergic reactions
Correct Answer is B
Explanation
Calcium can interfere with the absorption of levothyroxine when taken concurrently, potentially reducing its effectiveness. Therefore, it is recommended to separate the administration of these two medications by at least 4 hours to avoid this interaction.
A,C,D-No effect on absorption of levothyroxine
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