On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. What is the immediate action taken by the nurse?

Obtain a glucometer reading.

Administer fruit juice.

Start an IV of dextrose.

Call the physician.

Answer and Explanation

The Correct Answer is A

choice A, Obtain a glucometer reading. The immediate action taken by the nurse is to obtain a glucometer reading to determine the client's blood glucose level. The client's symptoms are suggestive of hypoglycemia, a condition that can lead to coma and seizures if left untreated. Administering fruit juice or starting an IV of dextrose without first checking the client's blood glucose level can worsen the condition if the client's blood glucose is high. The physician should be notified if the client's blood glucose level is critically low or high and if the client's condition does not improve after treatment.
B.   Administering fruit juice can worsen the condition if the client's blood glucose is high.
C.   Starting an IV of dextrose can worsen the condition if the client's blood glucose is high.
D.   Calling the physician is not the immediate action, as the client needs urgent treatment.

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Correct Answer is D

Explanation

Schedule injection on a nondialysis day. Epoetin is a medication used to stimulate the production of red blood cells. It is important to administer the medication on the day that the client is not receiving dialysis to prevent the medication from being removed from the bloodstream during the dialysis process.

Administering epoetin immediately after dialysis, choice B may result in decreased effectiveness.

Administering with low-dose aspirin, choice A, is not a standard recommendation for the administration of epoetin.

Monitoring the complete blood count prior to the dose, choice C is not the most important consideration when administering epoetin.

A. "What do you do to prevent sexually transmitted infections?". B. "The chance of acquiring a sexually transmitted infection increases with multiple sex partners.". C. "It is hard to find a good partner these days.". D. "You are putting yourself at risk when you have multiple sex partners.".

Correct Answer is B

Explanation

"The chance of acquiring a sexually transmitted infection increases with multiple sex partners." This response is appropriate and accurate because having multiple sex partners increases the risk of acquiring sexually transmitted infections. The nurse's response can help educate the client and encourage safer sexual practices.

Choice A is incorrect because it assumes the client already practices safe sex.

choice C is not relevant to the conversation.

Choice D is not necessarily incorrect, but it does not provide as much information or education to the client as choice B does.

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On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. What is the immediate action taken by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication?

Correct Answer is D

Explanation

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

Correct Answer is B

Explanation

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