A nurse is caring for a patient with a history of diabetes who is experiencing dizziness and lightheadedness. What is the priority action?

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Question 1 of 5

A nurse is caring for a patient with a history of diabetes who is experiencing dizziness and lightheadedness. What is the priority action?

Correct Answer: B

Rationale: The correct answer is B: Administer glucose for hypoglycemia. In a patient with a history of diabetes experiencing dizziness and lightheadedness, the priority action is to address hypoglycemia, which can be life-threatening if left untreated. Administering glucose will help raise the blood sugar levels quickly and resolve the symptoms. Administering insulin (choices A and C) would lower blood sugar levels further, worsening the symptoms. Choice D, administering glucose for hypoglycemia, is incorrect because giving additional glucose to a patient already experiencing hypoglycemia can lead to rebound hypoglycemia. Thus, the priority is to treat hypoglycemia promptly with glucose.

Question 2 of 5

The nurse analyzes the results of a patient's arterial blood gases (ABGs). Which finding would require immediate action?

Correct Answer: D

Rationale: A PaO₂ of 59 mm Hg indicates severe hypoxemia, requiring immediate intervention to improve oxygenation.

Question 3 of 5

The nurse obtains the following assessment data on an older patient who has influenza. Which information will be most important for the nurse to communicate to the health care provider?

Correct Answer: B

Rationale: Diffuse crackles suggest pneumonia or fluid overload, a serious complication in older influenza patients.

Question 4 of 5

An occupational health nurse works at a manufacturing plant where there is potential exposure to inhaled dust. Which action recommended by the nurse is intended to prevent lung disease?

Correct Answer: C

Rationale: Protective equipment like masks prevents inhalation of dust, a primary prevention strategy for lung disease.

Question 5 of 5

The nurse notes that a patient has incisional pain, a poor cough effort, and scattered coarse crackles after a thoracotomy. Which action should the nurse take first?

Correct Answer: C

Rationale: Pain relief with morphine improves cough effort and lung expansion, addressing the root cause of poor airway clearance.

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