Difficulty: Medium
Average Score: 73%
Simulated
Passage / Scenario
Medical History: 24-year-old with type 1 diabetes, gravida 1 para 1, vaginal birth at 37 weeks, newborn 4.1 kg, third-degree laceration. Vital Signs: Temp 37.3┬░C, BP 128/82 mm Hg, HR 84/min, RR 18/min. Nurses' Notes: Fundus firm, moderate lochia, diaphoretic, clammy, weak, nauseous at 1500. Diagnostic Results: Blood glucose 120 mg/dL at 1300.The nurse should plan to ___ and ___
Correct answer
F,E
Rationale
Diaphoresis, weakness, and nausea suggest hypoglycemia in a diabetic client. Checking blood glucose confirms the diagnosis, and drinking soda provides fast-acting carbohydrates for a conscious client.