Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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Enid is a 25-year-old female client who comes to the emergency department due to tachycardia and palpitations. The client is excessively sweating and is demonstrating signs of weakness. The client informs the nurse that the symptoms started 1 ½ hours after administering her daily insulin. Which of the following is the most appropriate intervention for the client?
  1. Administer insulin.
  2. Offer half a glass orange juice.
  3. Administer oxygen.
  4. Administer sublingual nitroglycerin.
Explanation
Answer: B - The client is offered a glass of orange juice. The client is demonstrating signs and symptoms of hypoglycemia. A glass of orange juice or sugary soft drink or a hard candy can relieve the symptoms of hypoglycemia. The nurse should offer 15 grams of fast-acting carbohydrates, wait for 15 minutes, and then test again. Administration of insulin can further decrease the blood glucose. Administration of oxygen or sublingual nitroglycerin will not correct the low blood glucose level.
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