A patient who was admitted with diabetic ketoacidosis secondary ...

[K@]

A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first?
 
  a. Infuse dextrose 50 by slow IV push.
  b. Administer 1 mg glucagon subcutaneously.
  c. Obtain a glucose reading using a finger stick.
  d. Have the patient drink 4 ounces of orange juice.

Question 2

The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?
 
  a. The patient's blood pressure is 154/92.
  b. The patient has a history of emphysema.
  c. The patient's blood glucose is 86 mg/dL.
  d. The patient has chest pressure when walking.

[SamMuagrove]

Answer to Question 1

ANS: C
The patient's clinical manifestations are consistent with hypoglycemia and the initial action should be to check the patient's glucose with a finger stick or order a stat blood glucose. If the glucose is low, the patient should ingest a rapid-acting carbohydrate, such as orange juice. Glucagon or dextrose 50 might be given if the patient's symptoms become worse or if the patient is unconscious.

Answer to Question 2

ANS: D
Rosiglitazone can cause myocardial ischemia. The nurse should immediately notify the health care provider and expect orders to discontinue the medication. There is no urgent need to discuss the other data with the health care provider.