The nurse obtains a fingerstick blood glucose level using bedside lancet/glucose meter equipment from a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). At this time, which intervention should the nurse implement first?
Give the client six ounces of non-diet carbonated soda and instruct the client to drink it entirely.
Document the glucose reading in the electronic medical record as the only action needed.
Collect a blood specimen by venipuncture to send to the laboratory for serum glucose analysis.
Prepare the prescribed dose of rapid-acting insulin from the sliding scale instructions.
The Correct Answer is A
Choice A reason: This is the correct choice. A blood glucose level of 56 mg/dL indicates hypoglycemia, and the immediate priority is to raise the blood sugar level. Non-diet carbonated soda can provide a quick source of sugar.
Choice B reason: Documenting the reading is important but does not address the immediate need to correct the low blood sugar.
Choice C reason: While confirming the reading with a laboratory test is a good practice, it is not the first action to take when dealing with hypoglycemia.
Choice D reason: Administering insulin would be contraindicated as it would lower the blood sugar even further.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Meningitis is not typically associated with ADD/ADHD, making it a correct choice as an exception among the risk factors listed.
Choice B reason: A family history of ADD/ADHD is a known risk factor for these conditions.
Choice C reason: Exposure to environmental toxins is a recognized risk factor for developing ADD/ADHD.
Choice D reason: While gestational diabetes can have various effects on a child's health, it is not a recognized risk factor for ADD/ADHD, making this the correct answer.
Correct Answer is C
Explanation
Choice A reason: This statement is incorrect; children's bones actually heal faster than those of adults due to a more robust blood supply and the presence of growth factors.
Choice B reason: Growth in children does not occur due to an increase in the number of muscle fibers; rather, it happens through the lengthening of existing fibers.
Choice C reason: Children's bones do have decreased density compared to adults, which is why they are more flexible and less likely to break.
Choice D reason: The statement about decreased blood flow in children's bones is incorrect; children typically have a higher blood flow in their bones, which contributes to their faster healing process.
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