For the patient with hypoglycemia who has experienced a suspected seizure, which intervention would the nurse implement immediately?

Administer IV 0.9% sodium chloride injection (normal saline)

Administer IV push (IVP) of diazepam

Administer IV push (IVP) of gabapentin

Administer IV 0.9% sodium chloride and 5% glucose (dextrose)

Answer and Explanation

The Correct Answer is D

For a patient with hypoglycemia who has experienced a suspected seizure, the immediate intervention would be to administer IV 0.9% sodium chloride and 5% glucose (dextrose). This helps to quickly raise the patient’s blood glucose levels and manage the seizure.

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Correct Answer is B

Explanation

Choice A rationale
Fever is not a typical symptom of osteoarthritis of the knee. Osteoarthritis is a degenerative joint disease that causes pain and stiffness, but it does not typically cause systemic symptoms like fever.
Choice B rationale
This is the correct answer. Crepitus, which is a grating or crackling sound or sensation, can be a symptom of osteoarthritis of the knee. It is caused by the rubbing of bone on bone due to the loss of protective cartilage in the joint.
Choice C rationale
Malaise, or a general feeling of discomfort or illness, is not a specific symptom of osteoarthritis of the knee. While osteoarthritis can cause discomfort and limit activity, it does not typically cause generalized malaise.
Choice D rationale
Weakness can occur in the muscles around an affected joint due to lack of use or muscle atrophy, but it is not a primary symptom of osteoarthritis of the knee

A. Stop the infusion of blood. B. Notify the laboratory. C. Obtain a urine specimen. D. Inform the provider.

Correct Answer is A

Explanation

Choice A rationale
If a client reports chills and back pain during a blood transfusion, and their blood pressure is 80/64 mm Hg, the nurse’s first action should be to stop the infusion of blood. These symptoms could indicate an acute intravascular hemolytic transfusion reaction, and the greatest risk to the client is injury from receiving additional blood.

Choice B rationale
Notifying the laboratory is an important step in managing a transfusion reaction, but it is not the first action that should be taken.
Choice C rationale
Obtaining a urine specimen could be part of the overall assessment of the client’s condition, but it is not the first action that should be taken when a client is experiencing a potential transfusion reaction.
Choice D rationale
Informing the provider is an important step when a client is experiencing a reaction to a blood transfusion, but it is not the first action that should be taken.

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For the patient with hypoglycemia who has experienced a suspected seizure, which intervention would the nurse implement immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an assessment on a patient who has osteoarthritis of the knee. Which of the following assessment findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving one unit of packed red blood cells (RBCs) due to intraoperative blood loss. The client reports chills and back pain, and their blood pressure is 80/64 mm Hg. What should be the nurse’s first action?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing chills and back pain during a blood transfusion. What should be the nurse’s priority action?

A nurse admits a patient to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

For the patient with hypoglycemia who has experienced a suspected seizure, which intervention would the nurse implement immediately?

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