The Patient has a nutritional dose of Humalog insulin of 5 units before each meal, plus Humalog insulin per sliding scale.

Blood Glucose Level sliding scale

(mg per dL) Humalog Insulin

If less than 70 and symptomatic administer 1 mg Glucagon IM then call MD 150-200 2 units

201-250 4 units

251-300 6 units

301-350 8 units

351-40010 units

Greater than 400 Call MD

The patient's meal has been delivered. the nurse checks the patient's pre-meal blood sugar, and the result is 64 mg/dL.

The patient is awake, and alert. and able to swallow. The next step the nurse should take is:

Call the MD.

Administer 1 mg Glucagon IM.

Administer 5 units of Humalog insulin.

Encourage the patient to eat their meal.

Answer and Explanation

The Correct Answer is B

Since the patient's blood glucose level is less than 70 mg/dL and they are symptomatic, the first step is to administer 1 mg Glucagon IM. This will help increase the patient's blood glucose level quickly.

After administering Glucagon, the nurse should then call the MD to report the low blood glucose level and discuss any necessary adjustments to the patient's insulin regimen. It is important to note that in this situation, administering Humalog insulin would further lower the patient's blood glucose level and could worsen their symptoms. Encouraging the patient to eat their meal is also important, but it should be done after the administration of Glucagon to help maintain their blood glucose level.

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Free Nursing Study Resources

Correct Answer is ["B","E","F"]

Explanation

The other options are not typically used in the treatment of thyroid storm. Captopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and congestive heart failure, amiodarone is an antiarrhythmic drug used for cardiac arrhythmias, and aspirin is a nonsteroidal anti-inﬂammatory drug (NSAID) used for pain relief and fever reduction.

A. "You will need to get frequent laboratory tests to monitor your thyroid hormone levels." B. "You will only need to take the drug for about 3 to 6 months." C. "Don't take more of the drug than prescribed to prevent hyperthyroidism symptoms." D. "Check with your primary health care provider if you take any other medication or herb.”

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

Explanation

The correct answers are a, c, and d. The client will need to take thyroid hormone replacement (levothyroxine) for the rest of her life since she had a total thyroidectomy. The dosage will need to be carefully monitored to ensure that it is correct, and laboratory tests will need to be done frequently to monitor thyroid hormone levels. Taking too much of the drug can cause hyperthyroidism symptoms, so it is important not to take more than prescribed. It is also important to check with a healthcare provider before taking any other medications or herbs, as they can interact with levothyroxine.

Answer b is incorrect because the client will need to take the drug for the rest of her life.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with severe tachycardia. hyperthermia and agitation are admitted for acute thyrotoxicosis (thyroid storm). The nurse will anticipate the need to administer which of the following medications? Select all that apply.

Correct Answer is ["B","E","F"]

Explanation

A 40-year-old woman had a total thyroidectomy for hyperthyroidism after medical management was not successful. The nurse is preparing to teach the client about her thyroid hormone replacement (levothyroxine). Which health teaching will the nurse include about this drug? Select all that apply.

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

Explanation

Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide?

Which action by the patient who is self-monitoring blood glucose indicates a need for additional teaching?

A hospitalized patient who is diabetic received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient was away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. What is the best action by the nurse to prevent hypoglycemia?

Insulin lispro (Humalog) is what type of insulin?

The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass index (BMI) of 31 kg/m2.Which goal in the plan of care is most important for this patient?

A 46-year-old female patient returns to the clinic with continued dysuria after being treated with trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take?

Desmopressin acetate (DDAVP) is prescribed to a patient for the treatment of diabetes insipidus. The nurse administering the medication monitors the patient for which therapeutic response?