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The nurse is unable to get an IV line started on a client who is lethargic and unable to follow commands with a blood glucose of 30. The nurse should make what recommendation when giving SBAR report to the prescriber?

A.

Diet cola PO

B.

Dextrose 50% IV

C.

Glucagon IM

D.

Insulin glargine SQ

Answer and Explanation

The Correct Answer is C

Choice A reason: Diet cola PO is not an appropriate recommendation for a client with a blood glucose of 30, because diet cola does not contain any sugar and will not raise the blood glucose level. Moreover, the client is lethargic and unable to follow commands, which means they may have difficulty swallowing and may aspirate the liquid. 

Choice B reason: Dextrose 50% IV is a potential recommendation for a client with a blood glucose of 30, because it can rapidly increase the blood glucose level and reverse the symptoms of hypoglycemia. However, the nurse is unable to get an IV line started on the client, which makes this option impossible. 

Choice C reason: Glucagon IM is the best recommendation for a client with a blood glucose of 30, because it can stimulate the liver to release glucose into the bloodstream and raise the blood glucose level. Glucagon can be given intramuscularly or subcutaneously, which does not require an IV access. Glucagon is usually given as an emergency treatment for severe hypoglycemia when the client is unconscious or unable to swallow. 

Choice D reason: Insulin glargine SQ is not an appropriate recommendation for a client with a blood glucose of 30, because insulin glargine is a long-acting insulin that lowers the blood glucose level. Giving insulin to a client with hypoglycemia can worsen their condition and cause coma or death. ⁹


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Related Questions

Correct Answer is ["0.71"]

Explanation

To calculate how many milliliters (mL) of the reconstituted medication the nurse should administer, we can use the following formula:

Desired dose (in mg) / Stock concentration (in mg/mL) = Volume to administer (in mL)

Given information:

Desired dose of ceftriaxone: 250 mg

Stock concentration after reconstitution: 350 mg/mL

Now let's calculate the volume to administer:

250 mg / 350 mg/mL = 0.7143 mL

Rounding to the nearest hundredth, the nurse should administer 0.71 mL of the reconstituted medication.

Correct Answer is ["750"]

Explanation

To calculate the infusion rate for the first 8 hours, we can use the following formula:

Infusion rate (mL/hr) = (Volume to be infused / Time for infusion)

First, we need to find the volume to be infused in the first 8 hours:

Volume for the first 8 hours = Total volume / 2 = 12 L / 2 = 6 L = 6000 mL

Now we can calculate the infusion rate for the first 8 hours:

Infusion rate = 6000 mL / 8 hr = 750 mL/hr

Therefore, the nurse should set the IV pump to deliver 750 mL/hr during the first 8 hours.

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