When a pregnant diabetic experiences hypoglycemia while hospitalized, the nurse should have the client:
a. eat six saltine crackers or drink 8 oz of milk.
b. drink 8 oz of orange juice with 2 teaspoons of sugar added.
c. drink 4 oz of orange juice followed by 8 oz of milk.
d. eat a candy bar.
A
Crackers provide glucose and milk provides lactose. Either will provide both fast- and slow-burning elements that promote a more steady recovery.
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The nurse receives a call from a woman who delivered her baby three days ago reporting foul-smelling lochia and a temperature of 101.2°F. The nurse instructs the new mother to:
1. Douche using a vinegar solution, and take ibuprofen every four hours. 2. Make an appointment to see the physician within the next few days. 3. Examine the breasts and look for any red, painful area. 4. Come to the office today to be examined.
An immunocompromised child is exposed to chickenpox and the provider orders valacyclovir [Valtrex] to be given orally three times daily. The nurse will contact the provider to change this order for which reason?
a. Valacyclovir is not used as varicella prophylaxis. b. The dosage is too high for this indication. c. The drug may cause serious adverse ef-fects in immunocompromised patients. d. Valacyclovir is not approved for use in children.
A patient is diagnosed with an aortic dissection. Which medications should the nurse expect to be prescribed for this patient?
Select all that apply. 1. verapamil (Isoptin) 2. esmolol (Brevibloc) 3. diltiazem (Cardizem) 4. hydralazine (Apresoline) 5. sodium nitroprusside (Nipride)
After a course of chemotherapy for cancer of the throat, an older adult patient is admitted to the hospital with persistent nausea and vomiting. The nurse should initially assess the patient for
a. weight loss and weak gag reflex. b. anemia and poor muscle tone. c. oral inflammation and ulceration. d. dehydration and infection.