Author Question: A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub ... (Read 109 times)

EAugust · **on:** Jun 25, 2018

A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub by moaning, has capillary blood glucose of 33 g/dL, and has an intravenous line that is infiltrated with 0.45 normal saline.

Which action should the nurse take first?

a.
Administer 1 mg of intramuscular glucagon.
b.
Encourage the client to drink orange juice.
c.
Insert a new intravenous access line.
d.
Administer 25 mL dextrose 50 (D50) IV push.

Question 2

A nurse teaches a client who is prescribed an insulin pump. Which statement should the nurse include in this client's discharge education?

a. Test your urine daily for ketones.
b. Use only buffered insulin in your pump.
c. Store the insulin in the freezer until you need it.
d. Change the needle every 3 days.

aadams68 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
The client's blood glucose level is dangerously low. The nurse needs to administer glucagon IM immediately to increase the client's blood glucose level. The nurse should insert a new IV after administering the glucagon and can use the new IV site for future doses of D50 if the client's blood glucose level does not rise. Once the client is awake, orange juice may be administered orally along with a form of protein such as a peanut butter.

Answer to Question 2

ANS: D
Having the same needle remain in place through the skin for longer than 3 days drastically increases the risk for infection in or through the delivery system. Having an insulin pump does not require the client to test for ketones in the urine. Insulin should not be frozen. Insulin is not buffered.