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?
Diet cola PO
Dextrose 50% IV
Glucagon IM
Insulin glargine SQ
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.1"]
Explanation
To calculate the amount of tobramycin that the nurse should administer per dose, we can use the following steps:
Calculate the total daily dosage required based on the client's weight and the prescribed dosage.
Determine the dosage per each of the three divided doses.
Calculate the volume of the drug needed for each dose using the concentration of the available tobramycin solution.
Given:
Client's weight = 85 kg
Prescribed dosage = 3 mg/kg/day
Available concentration of tobramycin = 40 mg/mL
Let's calculate step by step:
Calculate the total daily dosage required:
Total daily dosage = 3 mg/kg/day × 85 kg = 255 mg/day
Determine the dosage per each of the three divided doses:
Dosage per dose = Total daily dosage / 3 = 255 mg / 3 = 85 mg
Calculate the volume of the drug needed for each dose using the concentration of the available tobramycin solution:
Volume of drug per dose = Dosage per dose / Concentration of tobramycin
Volume of drug per dose = 85 mg / 40 mg/mL ≈ 2.1 mL
Rounding to the nearest tenth, the nurse should administer 2.1 mL of the tobramycin per dose.
Correct Answer is D
Explanation
Choice A reason: This is incorrect because a dry cough is not a common or serious side effect of hydralazine. A dry cough is more likely to occur with angiotensin-converting enzyme (ACE) inhibitors, which are another class of antihypertensive drugs.
Choice B reason: This is incorrect because hydralazine does not cause a low heart rate. In fact, hydralazine can cause a reflex increase in heart rate as a result of lowering the blood pressure. This is why hydralazine is often given with a beta-blocker, which can slow down the heart rate.
Choice C reason: This is incorrect because hydralazine does not interact with birth control. However, the nurse should advise the client to use effective contraception while taking hydralazine, as this medication can cause fetal harm if used during pregnancy.
Choice D reason: This is correct because hydralazine can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. This can lead to dizziness, fainting, and falls. The nurse should instruct the client to avoid getting up too quickly and to ask for assistance if needed.
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