A nurse is teaching an in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?

Vomiting

Blurred vision

Kussmaul respirations

Bradycardia

Answer and Explanation

The Correct Answer is B

A.   Vomiting is not typically associated with hypoglycemia; instead, it can be a symptom of hyperglycemia or other gastrointestinal issues.
B.   Blurred vision is a common manifestation of hypoglycemia due to the effects of low blood sugar on the function of the eyes.
C.   Kussmaul respirations are deep and rapid breathing patterns typically seen in diabetic ketoacidosis (DKA), which is a complication of hyperglycemia, not hypoglycemia.
D.   Bradycardia (slow heart rate) is not a typical manifestation of hypoglycemia; instead, tachycardia (rapid heart rate) is more commonly observed as a compensatory response to low blood sugar.

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Correct Answer is D

Explanation

Choice A Rationale: TPN should be removed from the refrigerator 30 minutes to an hour before use to allow it to reach room temperature, reducing the risk of crystallization and patient discomfort.

Choice B Rationale: The dressing around the IV site for TPN should be changed every 48 to 72 hours, not weekly, to prevent infection and ensure the integrity of the IV site.

Choice C Rationale: IV tubing for TPN solutions should be changed more frequently than every 72 hours, typically every 24 hours, to minimize the risk of bacterial contamination and infection.

Choice D Rationale: TPN solutions are at risk for bacterial growth, so any remaining solution after 24 hours should be discarded to prevent infection.

A. Hemoglobin B. Transferrin C. Prealbumin D. Total albumin

Correct Answer is C

Explanation

A. Hemoglobin levels primarily reflect the oxygen-carrying capacity of red blood cells and are not specific to nutritional status.
B. Transferrin levels reflect iron-binding capacity and may be influenced by factors other than nutrition.
C. Prealbumin levels have a shorter half-life compared to total albumin and can provide a more immediate assessment of nutritional status and the effectiveness of TPN in the short term.
D. Total albumin levels reflect longer-term protein status and may not change significantly in the short term with TPN administration.

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A nurse is teaching an in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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