A client with diabetes mellitus is taking oral agents, and is ...

[Mollykgkg]

A client with diabetes mellitus is taking oral agents, and is scheduled for a diagnostic test that requires him to be NPO (nothing by mouth) and to have contrast dye.
 
  What is the best plan by the nurse with regard to giving the client his oral medications?
  1. Notify the diagnostic department and request orders.
  2. Notify the physician and request orders.
  3. Administer the oral agents immediately after the test.
  4. Administer the oral agents with a sip of water before the test.

Question 2

A client with diabetes mellitus type 1 is found unresponsive in the clinical setting. Which nursing action is a priority?
 
  1. Call a code.
  2. Treat the client for hypoglycemia.
  3. Call the physician STAT.
  4. Assess the client's vital signs.

[ashely1112]

Answer to Question 1

Correct Answer: 2
Rationale 1: The radiologist in the diagnostic department might give orders, but it would be best to check with the client's physician first.
Rationale 2: It is best to notify the client's physician and request orders.
Rationale 3: Some oral medications should not be given for up to 2 days after receiving IV contrast.
Rationale 4: The client should not receive the medication during NPO (nothing by mouth) status unless directed by the physician. Some oral medications should not be given for 2 days before receiving IV contrast.

Answer to Question 2

Correct Answer: 2
Rationale 1: Assessment for ABCs should precede calling a code; there is no information that the client is not breathing.
Rationale 2: When a client with diabetes mellitus type 1 is found unresponsive, the nurse should focus on and treat for hypoglycemia, as this is more likely than hyperglycemia.
Rationale 3: .This is an emergency situation where the nurse must act before calling the physician.
Rationale 4: Vital signs should be taken after the client is treated for hypoglycemia.