The nurse is caring for a client who recently has undergone a partial gastrectomy. Two hours after eating lunch, the client becomes dizzy, diaphoretic, and confused. Which is the nurse's priority action?

a. Check the client's blood sugar level.
b. Increase the client's IV infusion rate.
c. Auscultate the client's bowel sounds.
d. Place the client in high Fowler's position.


A
The client's symptoms are consistent with late dumping syndrome, in which hypoglycemia is caused by increased insulin levels. The client's blood sugar level should be checked immediately. The other actions are not necessary.

Nursing

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a. mobility and consistency of organs and masses. b. position of organs and masses. c. presence of large masses or fluid. d. size and shape of organs and masses.

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a. obtain a stool specimen and order vancomycin. b. order testing for Clostridium difficile and consider metronidazole therapy. c. prescribe diphenoxylate (Lomotil) to provide symptomatic relief. d. reassure the patient that diarrhea is a common side effect of antibiotic therapy.

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In most cases, delivering a medication "on time" means administering it within ________ of the scheduled time.

What will be an ideal response?

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