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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 A

Explanation

A. Atropine is an anticholinergic medication that increases heart rate by blocking vagal effects on the heart, making it the first-line treatment for symptomatic bradycardia.

B. Cholestyramine is a bile acid sequestrant used to lower cholesterol levels and does not have any effects on heart rate.

C. Inamrinone is a phosphodiesterase inhibitor used in heart failure for inotropic support but is not specifically indicated for bradycardia management.

D. Milrinone is also a phosphodiesterase inhibitor used for heart failure but does not address bradycardia directly.

Correct Answer is A

Explanation

A. Try not to swallow while the pill dissolves is correct because sublingual medications are designed to be absorbed directly into the bloodstream through the mucous membranes under the tongue, and swallowing may hinder this absorption.

B. Take a big drink of water and swallow the pill is incorrect because sublingual medications should not be swallowed with water as they need to dissolve under the tongue.

C. Swallow frequently to get the best benefit is incorrect, as this can interfere with the absorption of the medication.

D. Chew the pill so it will dissolve faster is incorrect since chewing may destroy the sublingual formulation, preventing it from working as intended.

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