A nurse is caring for a client who has developed a hypoglycemic reaction. Which of the following interventions should the nurse perform if swallowing and gag reflexes are present in the client?
A) Administer glucagon by the parenteral route.
B) Administer the insulin via insulin pump.
C) Administer oral antidiabetics to the client.
D) Give oral fluids or candy.
Ans: D
Feedback:
The nurse should administer oral fluids or candy to the hypoglycemic client with swallowing and gag reflexes. If the client is unconscious, the nurse should administer glucose or glucagon parenterally. The nurse should administer insulin through an insulin pump for diabetic clients who are pregnant or have had a renal transplant. Oral antidiabetic drugs are administered to clients with type 2 diabetes.
You might also like to view...
The hospice nurse tells the family that the nurse coordinator, an RN, will visit them to:
a. collect initial fees for the hospice service. b. officially admit the patient to the hospice service. c. give the family a copy of the standardized plan of care. d. distribute drugs prescribed for palliation.
A client who is being admitted for depression should be assessed for disturbances in circadian
rhythms. The question that best implements this assessment is a. "What time of day do you feel worst and when do you feel best?" b. "Do you ever see or hear things that others do not?" c. "How would you describe your thinking?" d. "Would you say your memory is failing?"
The nurse is caring for an older client with asthma that has a respiratory rate of 28 breaths per minute and audible wheezes on inspiration. Which nursing diagnosis is most important for this client?
1. Activity intolerance 2. Altered peripheral tissue perfusion 3. Ineffective airway clearance 4. Ineffective breathing pattern
During the performance appraisal session, the manager should (select all that apply):
a. Maintain a relaxed and professional manner. b. Inquire about the employee's personal life and how it is affecting performance. c. Allow the employee to express opinions orally and in writing. d. Plan to give specific examples only for poor performance.