A patient with type 2 diabetes mellitus experiences a hypoglycemic reaction. The capillary blood glucose level is 60 mg/dL and the patient is given 8 ounces of orange juice. Which of the following should the nurse do next?
1. give the patient another 4 ounces of orange juice in 30 minutes
2. hold the next scheduled dose of insulin
3. recheck the blood glucose before the next meal
4. recheck the patient's blood glucose in 15 minutes
4
Rationale: Blood glucose levels should be tested 15 to 20 minutes after treatment has been initiated. The blood glucose will need to be rechecked before additional juice is given or any insulin is held. The blood glucose will need to be rechecked before the next meal however the nurse should not wait. The patient should be rechecked in 15 to 20 minutes.
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The nurse is assessing a client who has a wound on the left calf. Drainage is coming from the wound. What does the nurse tell the client about this finding?
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A new CEO has been hired at Valley Hospital who proposes to change the centralized organizational structure that was put in place ten years ago, based on widespread consultation with staff
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Because the patient has pneumonia, the nurse assesses for abnormal voice sounds. The patient has clearer transmission of spoken voice sounds. This is an example of which type of voice sound?
1) Bronchophony 2) Whispered pectoriloquy 3) Egophony 4) Stridor