The daughter of an older woman who has Parkinson's disease, calls the clinic and reports that her mother has been confused for the past week. Which action(s) should the nurse take? (Select all that apply.)

Determine if the mother has recently experienced a fall.

Review the client's current food and medication allergies.

Encourage increased intake of high protein foods.

Instruct the daughter to check her mother's temperature.

Ask if the mother is experiencing any pain with

Answer and Explanation

Correct Answer : A,B,D,E

A. Confusion can be a sign of a concussion or other injury resulting from a fall, which is a common risk for individuals with Parkinson's disease.
B. Reviewing the client's current food and medication allergies is important as allergies can contribute to confusion if the client is exposed to an allergen.
C. Encouraging increased intake of high protein foods is generally recommended for individuals with Parkinson's disease, but it is not directly related to the acute onset of confusion.
D. Checking the mother's temperature is a direct action to assess for infection, which can be a cause of acute confusion, especially in older adults.
E. Pain with urination could indicate a urinary tract infection, which is another common cause of confusion in the elderly. It is important to assess for this possibility.

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Correct Answer is C

Explanation

A. Adding Dextrose to a TPN solution may not be appropriate for the immediate management of insulin shock.
B. Mixing the Dextrose in a piggyback solution may dilute the concentration and delay the delivery of glucose, which is not ideal in the acute management of insulin shock.
C. Pushing the undiluted Dextrose slowly through the currently infusing IV allows for rapid administration of glucose to address the hypoglycemia associated with insulin shock.
D. Diluting the Dextrose in a liter of Normal Saline solution would significantly reduce the concentration and delay the delivery of glucose, which is not desirable in the acute management of insulin shock.

A. Take metformin with the morning and evening meal. B. Use sliding scale insulin for fingerstick glucose elevations. C. Recognize signs and symptoms of hypoglycemia. D. Report persistent polyuria to the healthcare provider. E. Take an additional dose for signs of hyperglycemia.

Correct Answer is ["A","C","D"]

Explanation

A. Metformin should be taken with meals to reduce gastrointestinal side effects and to improve absorption.

B. Sliding scale insulin is not typically initiated at the start of metformin therapy; it is used when blood glucose levels are not controlled by oral medications alone.

C. Patients should be aware of the signs and symptoms of hypoglycemia, as it can occur with metformin, especially when combined with other antidiabetic medications or significant

lifestyle changes.

D. Persistent polyuria can be a sign of uncontrolled diabetes, and patients should report this to their healthcare provider for further assessment.

E. Taking an additional dose of metformin for signs of hyperglycemia is not recommended; instead, patients should follow their healthcare provider's instructions for managing high blood sugar levels.

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The daughter of an older woman who has Parkinson's disease, calls the clinic and reports that her mother has been confused for the past week. Which action(s) should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a 50 mL dose of 50% Dextrose IV for a client with insulin shock. How should the nurse administer the medication?

Correct Answer is C

Explanation

A client who is newly diagnosed with type 2 diabetes mellitus (DM) receives a prescription for metformin 500 mg PO to Which on should the nurse include in this client's teaching plan? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

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