Nokea
The nurse is teaching a review course on foods appropriate to treat hypoglycemia. It indicates appropriate understanding if an attendee states that which item should be provided?
- A. Slice of chicken breast
- B. 1 tablespoon of honey
- C. 1/2 cup of regular soda
- D. 1/2 cup of juice
- E. Two hardboiled eggs
Correct Answer: B, C, D
Rationale: Hypoglycemia requires fast-acting carbs: honey, regular soda, and juice raise glucose quickly. Protein-rich chicken and eggs are slow to digest and not effective for acute treatment.
You may also like to solve these questions
The nurse is performing discharge teaching for a client prescribed propylthiouracil (PTU). Which client statement indicates effective understanding?
- A. I should increase my intake of foods containing iodine.
- B. This medication may cause my urine to have a reddish discoloration.
- C. I will need to have my liver enzymes monitored while I take this medication.
- D. If this medication starts to work, I should notice some weight loss.
Correct Answer: C
Rationale: PTU can cause hepatotoxicity, requiring liver enzyme monitoring. Iodine intake should be moderated, PTU does not cause reddish urine, and effective treatment may cause weight gain, not loss.
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory tests require careful monitoring?
- A. Potassium
- B. Sodium
- C. Glucose
- D. Magnesium
Correct Answer: B
Rationale: SIADH causes water retention, diluting sodium and risking hyponatremia. Close sodium monitoring prevents neurological complications like seizures or coma.
The nurse is caring for a client who recently had a total parathyroidectomy. Which of the following medications should the nurse anticipate that the primary health care provider (PHCP) will order?
- A. Calcium carbonate
- B. Cholecalciferol
- C. Calcitonin
- D. Folic acid
- E. Magnesium oxide
Correct Answer: A, B
Rationale: Parathyroidectomy removes PTH, lowering calcium. Calcium carbonate supplements calcium, and cholecalciferol (vitamin D) aids absorption. Calcitonin lowers calcium, and folic acid and magnesium are unrelated.
The following scenario applies to the next 1 items
The emergency department (ED) nurse is caring for a 66-year-old male client
Item 1 of 1
History and Physical
2000: 66-year male arrives at the emergency department (ED) following a recommendation by his primary healthcare provider (PHCP). The client called his PHCP in the morning, reporting a headache, feeling unwell, fatigue, and thirst. He could not check his blood glucose because he reports being out of testing supplies for two weeks. He also reports being unable to take his prescribed antihypertensive and antidiabetic medications for one week because he lost his job. On exam, the client reports feeling fatigued and thirsty. He is alert and completely oriented. His physical exam was within normal limits except for a thready pulse with a rate of 119/minute.
The client has a medical history of type II diabetes mellitus, congestive heart failure (CHF), hypertension, and hyperlipidemia. He is prescribed atorvastatin, metformin, and lisinopril.
Vital Signs
Oral Temperature 98o F (36.7o C)
Pulse 119/minute
Respirations 19/minute
Blood pressure 98/52 mm Hg
Oxygen saturation 96% on room air
Physician Orders
Obtain intravenous (IV) access
Five units of regular insulin via intravenous push (IVP)
Infuse two liters of 0.9% saline over one hour
Obtain capillary blood glucose (CBG) every two hours
Potassium chloride 20 mEq by mouth x 1 dose
Implement seizure precautions
The nurse reviews laboratory work ordered by the primary healthcare provider (PHCP). The nurse obtains physician orders for this client with hyperosmolar hyperglycemic state (HHS) . The nurse is preparing to implement the physician's orders. Which order should the nurse clarify with the physician?
- A. Infuse two liters of 0.9% saline over one hour
- B. Obtain capillary blood glucose every two hours
- C. Potassium chloride 20 mEq by mouth
- D. Implement seizure precautions
Correct Answer: A
Rationale: Infusing 2 liters of saline in one hour is too rapid for HHS, risking fluid overload. Slower infusion (e.g., 1 liter over 2-4 hours) is safer. Other orders align with HHS management.
The nurse is caring for a client who presents with a blood glucose level of 45 mg/dL (2.4975 mmol/L) [70-110 mg/dL, 4.0-11.0 mmol/L]. Which of the following findings are expected?
- A. Blurred vision
- B. Increased urinary output
- C. Cool and clammy skin
- D. Palpitations
- E. Orthostatic hypotension
- F. Paresthesias
Correct Answer: C, D, F
Rationale: Hypoglycemia causes sympathetic activation (cool, clammy skin; palpitations) and neurological symptoms (paresthesias). Blurred vision and increased urination are more typical of hyperglycemia, and orthostatic hypotension is less directly related.