Question

NCLEX QUESTIONS: Circle the correct answer(s)

The nurse is responsible for the care of a patient with diabetes who is unable to swallow, is unconscious and seizing, and has a blood glucose of less than 20 mg/dL. Which actions are most appropriate response for this patient at this time? (Select all that apply)

1. Check the chart for the patient most recent Hemoglobin A1C
2. Give glucagon 1 mg subcutaneously or intramuscularly
3. Repeat the dose of glucagon in 10 minutes if the patient remains unconscious.
4. Apply aspiration precautions because glucagon can cause vomiting.
5. Give the patient an oral simple sugar or snack
6. Notify the health care provider immediately

The patient is offered insulin glargine (Lantus) 25 units subcutaneous every bedtime. At 2100, the patient blood glucose is 105. What is the appropriate action for the nurse?

1. Hold the insulin glargine injection
2. Call the physician for clarification
3. Give the insulin glargine as ordered.
4. Recheck the blood glucose in 15 minutes.

Answer 1

1. Correct answers are a, b, c, d, f.

2. b. call the physician for clarification