What is the most effective intervention for a client with hypoglycemia?

Correct Answer: A

Rationale: The correct answer is A: Administer glucose. Hypoglycemia is low blood sugar, and administering glucose rapidly raises blood sugar levels to restore normal function. Glucagon (choice B) is used for severe hypoglycemia when the individual cannot consume oral glucose. Insulin (choice C) lowers blood sugar levels and is contraindicated in hypoglycemia. Corticosteroids (choice D) can worsen hypoglycemia by affecting glucose metabolism. Administering glucose is the most direct and effective intervention for hypoglycemia.

Correct Answer: A

Rationale: The correct answer is A: Administer diuretics. Diuretics help reduce fluid overload in CHF by increasing urine output and decreasing the workload on the heart. This intervention addresses the underlying issue of fluid retention, a common problem in CHF. Monitoring vital signs (B) is important but does not directly target the primary problem of fluid overload. Monitoring respiratory rate (C) is essential in CHF, but administering diuretics takes precedence in managing fluid balance. Monitoring for arrhythmias (D) is important, but not the most crucial intervention in the management of CHF.

Correct Answer: A

Rationale: The correct answer is A: Provide tracheostomy care. This is the priority because maintaining the patency of the airway is crucial in a client with a tracheostomy. Tracheostomy care includes monitoring for any signs of respiratory distress, ensuring the tube is secure, assessing for any obstructions, and providing appropriate humidification. Suctioning the airway (choice B) and suctioning the tracheostomy (choice D) are important interventions but come after ensuring proper tracheostomy care. Changing the dressing (choice C) is also important but not as immediate as ensuring the airway remains clear and functional.

Correct Answer: A

Rationale: The correct answer is A: Place the client on their side. This is the first nursing action for a client who develops a seizure to prevent aspiration and maintain an open airway. Placing the client on their side helps to keep their airway clear and prevents them from choking on saliva or vomit. Choice B, loosening clothing, is important but not the first priority. Choice C, placing the client in a Trendelenburg position, is not recommended as it may increase intracranial pressure. Choice D, placing the client in a sitting position, can increase the risk of injury during a seizure.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Total parenteral nutrition (TPN) can cause adrenal insufficiency. 2. Corticosteroids help prevent adrenal insufficiency in TPN patients. 3. Monitoring corticosteroid administration ensures adrenal function. 4. Monitoring blood glucose or serum glucose levels is important but not specific to TPN. 5. Dehydration can be monitored but is not directly related to TPN.