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A client diagnosed with type 1 diabetes suddenly reports feeling weak, shaky, and dizzy. What should be the nurse's initial response?

A.

Perform a blood sugar analysis.

B.

Have the client drink a 4-ounce (120-mL) glass of orange juice.

C.

Administer 1 ampule of 50% dextrose intravenously.

D.

Administer 10 units of regular insulin subcutaneously.

Answer and Explanation

The Correct Answer is B

A. Performing a blood sugar analysis is important, but in the case of sudden symptoms such as weakness, shakiness, and dizziness, it is crucial to act quickly to address the potential hypoglycemia without delay.  

 

B. Having the client drink a 4-ounce glass of orange juice is the most appropriate initial response as it provides a quick source of glucose to alleviate symptoms of hypoglycemia, which is a common concern in clients with type 1 diabetes experiencing these symptoms.  

 

C. Administering 1 ampule of 50% dextrose intravenously is an effective treatment for hypoglycemia but is typically reserved for severe cases where the patient is unable to consume oral glucose or is unconscious.  

 

D. Administering 10 units of regular insulin subcutaneously would exacerbate the problem by lowering blood sugar further and is contraindicated in a patient experiencing hypoglycemic symptoms.


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Correct Answer is B

Explanation

A. "I will take this medication at bedtime to help with my symptoms." is correct; famotidine is often taken at bedtime to reduce nocturnal gastric acid secretion and help manage symptoms.

B. "I can take this medication with antacids for faster relief." is incorrect; antacids can interfere with the absorption of famotidine, and patients should be advised to separate the doses by at least an hour.

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