NCLEX- CH 61 ENDOCRINE AND METABOLIC DISORDERS with verified solutions 2024

NCLEX- CH 61 ENDOCRINE AND METABOLIC DISORDERSPt with diabetes requests med for headache soon after returning from early morning x-ray. The nurse observes the pt is upset about headache, angry at missing breakfast, and has moist hands. What priority action should the nurse take at this time? 1. administer medication for headache and arrange for a breakfast tray 2. check BG level and be prepared to give 4 oz of juice immediately 3. acknowledge his dissatisfaction, offer a snack, and give the med 4. administer the headache med and review the days lab test results - correct answer ANSWER: 2 Headache, restlessness, anxiety, sweating, and increased pulse are S/S of hypoglycemia. Resolution of symptoms should occur after the pt drinks the juice. Treating the headache and obtaining a breakfast tray fail to recognize the pt's actual problem. Acknowledging dissatisfaction, obtaining a snack and giving meds address the pt's concerns but do not verify the pt's BG as a possible etiology for the symptoms. Treating the headache and checking labs fails to address the immediate risk of hypoglycemia, which can be addressed by checking BG A 70 yr pt admitted with BG of 750 is being TX for HHNK wit IV regular insulin at 10u/hr, NS with 20mEq of K per L infusing at 250mg/h, and O2 @ 2l/m. The pt has been oriented when stimulated, and BG has dropped to 400. The pt now demands to get out of bed and his skin feels cool and moist. What should the nurse do at this time?