The nurse is caring for a child who is receiving total parenteral nutrition (tpn) for failure to thrive. which nursing action might the nurse take to prevent complications from this therapy?

Answers

Answer 1

The nursing action which nurse should take to prevent any complication from the therapy of total parenteral nutrition (TPN) for failure to thrive is 'use occlusive dressings and chlorhexidine-impregnated sponge dressings'.

What is total parenteral nutrition (TPN)?

Total parenteral nutrition (TPN) is a feeding technique that omits the digestive system. The majority of the body's nutritional requirements are met by a specific formula administered intravenously. When a person cannot or shouldn't receive feedings or fluids orally, the technique is utilized. A person may require TPN permanently or just for a few weeks or months. It depends on the illness that necessitates TPN.

To aid with infection prevention, the nurse should use occlusive dressings and sponge dressings impregnated with chlorhexidine. To ensure that the system is always closed, the nurse should always follow agency or institution policies and procedures, use strict aseptic technique when caring for the catheter and giving TPN, secure all connections, clamp the catheter, or have the child perform the Valsalva maneuver during tubing and cap changes.

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Related Questions

The nurse expects to find which pathologic change in a patient with pulmonary arterial hypertension (pah)?

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The pathologic change which a nurse expects to find in a patient with pulmonary arterial hypertension (PAH) is increased pulmonary vascular resistance.

The most common reason for pulmonary arterial hypertension (PAH) is multiplied pulmonary vascular resistance due to primary disease or as a secondary complication of metastasis, cardiac, autoimmune, hepatic, or connective tissue disorders.

Increased pulmonary vascular resistance is caused by vasoconstriction, reworking (vessel wall thickening), and occlusion. PAH causes right chamber hypertrophy and eventually right-sided heart failure. PAH doesn't cause weakened pulmonary vascular resistance or respiratory acidosis.

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The nurse is caring for a patient with hypovolemia from a prolonged high fever with tachypnea. what assessment finding should the nurse anticipate?

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The assessment that the nurse should anticipate for a patient with hypovolemia from a prolonged high fever with tachypnea is associated with a weak and rapid pulse.

What does hypovolemia mean?

The medical term hypovolemia is used to denote a condition in which the individual loses an excessive amount of body fluids such as blood, whose symptoms are diverse but include weakness and dizziness.

In conclusion, The assessment that the nurse should anticipate for a patient with hypovolemia from a prolonged high fever with tachypnea is associated with a weak and rapid pulse.

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The geriatric resource nurse is assisting with the care of an older adult client. which intervention best exemplifies the role of the geriatric resource nurse?

Answers

This shows that the client lacks the requisites to meet his or her needs independently.

Who is a geriatric resource nurse?

The GRN concept is the foundation of NICHE Hospitals. The GRN model strives to strengthen the nurse’s geriatric expertise and knowledge, which is essential for putting system-wide improvements in the care of senior residents into place.

With older patients, GRNs work in a variety of settings, such as critical care areas, specialized units, and medical-surgical units.

The GRN model should be followed because of the reasons outlined:

• Carefully attend to elderly patients at their bedsides.

• Establish a core group of nurses who can support other employees.

• Increase awareness of elder care and gerontological services.

• Create incentives for nurses who look after senior citizens to boost their morale.

• Provide nurses with a way to advance in their professions.

• Improve the nurse-patient relationship and patient satisfaction.

• The efficiency of the interdisciplinary team should be encouraged.

• Increase the utilization of evidence-based clinical practices.

• Ensure the best possible use of hospital services.

• Facilitate safe and effective discharges.

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The glasgow coma scale is a standardized assessment tool for a person's level of consciousness. which client would this scale not be appropriate for?

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A useful tool for evaluating conscious level impairment in reaction to certain stimuli is the Glasgow Coma Scale.

"Clinical practice and research are both heavily reliant on the Glasgow Coma Scale." Experience obtained since the Scale's first description in 1974 has led to the creation of a contemporary structured method with increased accuracy, dependability, and communication in its application, which has progressed the evaluation of the Scale.

The Glasgow Coma Scale is a system of examining a comatose patient. It is helpful for evaluating the depth of the coma, tracking the patient's progress, and predicting (somewhat) the ultimate outcome of the coma.

More about Glasgow Coma Scale: -

All forms of acute illness and trauma patients can have their level of impaired consciousness measured objectively using the Glasgow Coma Scale (GCS). The scale rates patients based on their eye-opening, muscular, and vocal responses—the three components of responsiveness. A distinct, understandable portrait of a patient may be obtained by reporting each of them independently. The results of each scale component can be combined to provide a total Glasgow Coma Score, which provides a helpful assessment of the overall severity but is less comprehensive. Since then, various clinical recommendations and scoring systems for those who have experienced trauma, or a severe disease have included the Glasgow Coma Scale and its overall score. This exercise reviews the function of the Glasgow Coma Scale and explains how to use it.

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Patient had a neutrophilia, shift to the left, toxic granulation, toxic vacuolization and dohle bodies. this is characteristic in:_________

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This is characteristic in Neutrophils.

The term "toxic granulation" is used to denote an increase in the density and number of granules. This is common in bacterial infections and other sources of inflammation. There are often toxic granulations and Dele's corpuscles that can mimic reactive proliferation. Neutrophils with enlarged or vacuolated cytoplasm are also possible. Granulocytic hyperplasia is seen in the bone marrow. Bone marrow may show the full spectrum of granulocyte maturation, appear to be in a state of maturation arrest, or be segmented neutrophils, depending on the date of examination. The most difficult changes to diagnose are those from maturation arrest that occur shortly after administration of growth factors, as they can be confused with myelodysplastic syndrome or recurrent leukemia.

Neutrophils is the correct answer.

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Which information about infection prevention would the nurse include when planning discharge teaching for a client being treated with chemotherapy for leukemia?

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The nurse should ensure the patient cleans the spills from chemotherapy drugs and does not come in contact with the contaminated surfaces.

Chemotherapy is a kind of cancer treatment that uses anticancer drugs to kill the cancer-causing germs that grow very rapidly in the human body. These drugs are very strong and can even cause other adverse effects if not followed precautions. They may remain in your body for a week after chemotherapy and can be transferred into various body fluids like saliva, semen, vaginal discharge, etc.

Leukemia is a type of cancer that happens to blood-forming tissues of our body like bone marrow. Leukemia chemotherapy includes the use of leukemia-killing drugs like cytarabine and other powerful drugs.

Thus, the patient is required to ensure the cleanliness of his surroundings if any of these fluids spill over the surface and should wipe it off while wearing gloves and masks.

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The nurse manager on the psychiatric unit was explaining to the new staff the differences between typical and atypical antipsychotics. the nurse correctly states that atypical antipsychotics?

Answers

Reduce the number of extrapyramidal effects.

Movement disorders are less of an issue because atypical antipsychotics don't cause as much D2blockade.

There is no proof that the drug stays in the system longer or that it reduces delusions more quickly. For NMS, the atypicals do not come without risk.

Hence, the nurse correctly states that atypical antipsychotics reduce the number of extrapyramidal effects.

How do atypical antipsychotics work?The dopamine, norepinephrine, and serotonin receptors in the brain are disrupted by atypical antipsychotics, a more recent class of drugs. Those who have schizophrenia or other diseases connected to psychosis may experience less severe symptoms as a result of this. These medications may also be helpful in treating Tourette's syndrome and obsessive compulsive disorder (OCD).Atypical antipsychotics function by binding to these receptors and functioning as antagonists, which shuts down the cellular processes involved in activating neurotransmitters.

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The nurse on a post-surgical orthopedic unit receives nursing report on a group of adult clients. which client should the nurse see first?

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The nurse on a post-surgical orthopedic unit receives nursing report on a group of adult clients and the client which the nurse should see first is a client who has respiratory rate of 8 breaths/minute.

Orthopedic surgery, or orthopaedics, focuses on the treatment of the system, that has bones, joints, ligaments, tendons, muscles, nerves, and even the skin. There are many various forms of orthopaedic surgery that may treat anything from a birth defect to an injury to arthritis.

Post-surgical care is what you receive after an operation/surgery. The kind of surgical care you wish depends on the kind of surgery you have got, furthermore as your health history. It typically includes pain management and wound care.

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Which reasons would be appropriate for performing a lumbar puncture (lp) on a client? one, some, or all responses may be correc

Answers

Following are the two appropriate reasons for performing a lumbar puncture:

Measuring the pressure of the cerebrospinal fluid.Injecting a diagnostic study's contrast medium.

What do you mean by lumbar puncture?

A spinal needle is inserted through a lumbar puncture into the subarachnoid space between the third and fourth lumbar vertebrae in order to measure the cerebrospinal fluid with a manometer. A lumbar puncture is used to administer air or contrast material for diagnostic purposes. In order to diagnose neurological disorders including multiple sclerosis and spinal cord injuries, evoked potentials are tests that evaluate the electrical signals that sound, light, or touch sends to the brain. Additionally, sensory nerve issues are evaluated using evoked potentials. Radioactive chemicals are utilized in cerebral blood flow evaluation to evaluate blood flow in various locations.

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Public, private, and governmental health care decision-makers at every level should include representation from nursing:_____.

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Public, private, and governmental health care decision-makers at every level should include representation from nursing : on boards, on executive management teams, and in other key leadership positions.

What is health care decision-making?

Making decisions about health care involves a process with definite steps followed by an ideal progression. The method is persistent and universally applicable (i.e., it works in all contexts) (i.e., it has remained applicable over time and will continue to apply in the future). In the process of making healthcare decisions, doctors are crucial. The effectiveness and relevance of physician participation are facilitated and enhanced by learning to adhere to desirable approaches at each level (for example, ideal techniques to defining DMC). Under often difficult and imperfect conditions, careful adherence to the phases in this procedure is expected to produce the best results possible because they are compatible with patient requirements and values while facilitating the appropriate utilization of healthcare resources.

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identify the three types of muscles and describe the functions of each

Answers

Answer:skeletal muscle

Smooth muscle

Cardiac muscle

Explanation:

skeletal muscle – the specialized tissue that is attached to bones and allows movement.

Smooth muscle – located in various internal structures including the digestive tract, uterus, and blood vessels such as arteries.

Cardiac muscle – the muscle-specific to the heart.

Skeletal: as a part of the musculoskeletal system, these muscles work with your bones, tendons and ligaments.
Cardiac: these muscles line the heart walls. They help your heart pumping blood that travels through your cardiovascular system.
Smooth: these muscles line the insides of organs such as the bladder, stomach and intestines.

As the health care delivery system developed in the united states, right from its inception primary care physicians were assigned a gatekeeping role. True or false

Answers

The statement "As the health care delivery system developed in the united states, right from its inception primary care physicians were assigned a gatekeeping role." is False

This is further explained below.

What is health care?

Generally, The prevention, detection, treatment, amelioration, or cure of disease, sickness, injury, and other physical and mental impairments in humans is what is referred to as health care or healthcare.

This is done in order to enhance people's health. Professionals in the medical and allied health areas are the ones who provide patients with medical treatment.

In conclusion, The claim that primary care doctors were given a gatekeeping duty right from the beginning of the development of the health care delivery system in the United States is untrue.

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Taking vitamin and mineral supplements is necessary to enhance athletic performance. question 13 options:
a. true
b. false

Answers

Answer:

True

Explanation:

Answer:a. true

Explanation:

You respond to a 30-month-old patient who has passed out. is the patient's blood pressure important to your treatment? why?

Answers

Answer: yes

Explanation: maybe their blood pressure was to low or to high. but it's always important to make sure in case the baby needs blood. [im in 7th grade so im not sure :}}

A pta is considering using short wave diathermy on a patient who has decreased range of motion of the knee following a total knee replacement. would this physical agent be indicated or not? why?

Answers

Yes, Diathermy is contraindicated in cases of metal implants, electronic medical devices and over bone growth plates.

What is diathermy?

Diathermy is the use of high-frequency electromagnetic currents or electrically produced heat as a type of physical therapy and during surgical procedures. Jacques Arsene d'Arsonval produced the first observations regarding the effects of high-frequency electromagnetic currents on the human body. Using the Greek words dia and therma, which literally translate to "heating through," German physician Karl Franz Nagelschmidt invented the specialty in 1907.

As mentioned in question, a PTA is considering using short wave diathermy on a patient who has decreased range of motion of the knee following a total knee replacement. Here, diathermy is indicated as diathermy is contraindicated in cases of metal implants, electronic medical devices and over bone growth plates.

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Dr. wendall holmes and dr. ignaz semmelweis were pioneers in_______, one of the most important methods to reduce disease in healthcare settings

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Dr. wendall holmes and dr. ignaz semmelweis were pioneers in Hand-washing, one of the most important methods to reduce disease in healthcare settings.

Who was Dr. Wendall Holmes?

American physician, poet, and polymath Oliver Wendell Holmes was based in Boston. He was considered one of the best authors of his time and was categorized with the "fireside poets." The "Breakfast-Table" series, which began with The Autocrat of the Breakfast-Table, is among his most well-known prose works. He was a significant medical reformer as well. In addition to his work as a writer and poet, Sherlock Holmes was also a doctor, professor, lecturer, inventor, and, although he never actually practiced law, he had formal legal training.

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The federal law that allows patients to appoint a health care surrogate and make decisions about his or her health before they become unable to do so is known as the:______.

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Self-determination act is known as the federal law that allows patients to appoint a health care surrogate and make decisions about their death before they're unable to do so.

Federal legislation, the Patient Self-Determination Act (PSDA), requires adherence. This law was created with the intention of protecting and promoting a patient's right to self-determination in medical choices.

Adults who are competent have the option to accept or reject medical or surgical treatment through advance directives, such as the living will and durable power of attorney, so that in the event that these adults lose their capacity to make decisions, they would be better able to maintain control over decisions affecting their health care.

Patient Self-Determination Act (PSDA) aims to strengthen people's constitutional right to choose their own final medical treatment, to put it briefly.

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The nurse is caring for a client with vascular dementia. what does the nurse identify as the cause of this problem?

Answers

Answer:

This type of dementia is caused by significant cerebrovascular disease. The client suffers the equivalent of small strokes caused by arterial hypertension or cerebral emboli or thrombi, which destroy many areas of the brain.

Explanation:

The nurse is conducting a pupillary examination on a 34-year-old man. both pupils dilate slightly. both constrict briskly when the light is placed on the right eye. what is the most likely problem?

Answers

The most likely problem for both pupils dilating slightly, both constrict briskly when the light is placed on the right eye:

Optic nerve damage on the left

What is harm to the optic nerve?

Any type of harm to the optic nerve, including trauma, inflammation, illness, or degradation, is referred to as optic nerve damage. Optic neuropathy or optic nerve atrophy are other names for optic nerve injury. The nerve that links and conveys data between the eye and the brain is known as the optic nerve. Blindness, visual loss, and distortion of vision are all consequences of optic nerve injury.

Optic nerve :

The rear of the eye contains the optic nerve. It is sometimes referred to as cranial nerve II or the second cranial nerve. It is one of a number of cranial nerve pairs. The optic nerve's function is to conduct electrical impulses that carry visual information from the retina to the brain's vision centres.

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In what area of the chest would the nurse expect to auscultate these breath sounds?

Answers

Anteriorly and posteriorly over the major bronchi.

An essential component of the respiratory examination that aids in the diagnosis of a number of respiratory illnesses is lung auscultation. The trachea-bronchial tree's airflow is evaluated by auscultation. Making a proper diagnosis requires being able to differentiate between normal and atypical respiratory sounds, such as crackles, wheezes, and pleural rub. For a better knowledge of illness processes, it is vital to comprehend the underlying pathophysiology of the various lung sound generating mechanisms. In the age of technology expansion, bedside instruction has to be enhanced to prevent degradation of this time-honored practice.

One of the earliest diagnostic tools still used by doctors to identify a variety of pulmonary disorders is the auscultation of the respiratory system, which is affordable, noninvasive, safe, simple to conduct, and effective.

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A client has a tentative diagnosis of hodgkin disease. how would the nurse expect the diagnosis to be confirmed?

Answers

A client has a tentative diagnosis of hodgkin's disease and the nurse would expect the diagnosis to be confirmed by lymph node biopsy.

Hodgkin's disease is a variety of cancer that affects the immunity system, that is a component of the body's germ-fighting system. In Hodgkin's disease, white blood cells known as lymphocytes grow out of management, inflicting swollen nodes and growths throughout the body.

A biopsy is the removal of a small amount of tissue for examination under a microscope. The diagnosis of hodgkin's disease is after a biopsy of an affected tissue,  ideally by removal (or excision) of a lymph node.

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What is the symptom of a mental disorder?

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BRAINLIEST ANSWER:

clinical depression

Anxiety disorder

Bipolar disorder

Dementia

Autism

BEGGING User:

plssssssss rate answer 5 star

Symptoms vary widely and may affect mood, thinking,

Which client presents the most significant risk factors for the development of clostridium difficile infection?

Answers

Antibiotic exposure and advanced age of client presents the most significant risk factors for the development of clostridium difficile infection.

Risk factors including advanced age (65 and older) recent occupy a hospital or nursing home. A weakened immune system, like folks with HIV/AIDS, cancer, or surgical operation patients taking immunosuppressive drugs.

Clostridium difficile infection is currently recognized as the most typical reason for healthcare facility infectious symptom. It's answerable for up to twenty fifth of cases of antibiotic-associated diarrhea, 5 up to seventy fifth of cases of antibiotic-associated  colitis, and bigger than ninetieth of cases of antibiotic-associated pseudomembranous  colitis.        

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The nurse is assessing four patients. which patient does the nurse suspect to be at increased risk of pulmonary embolism because of immobility?

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The nurse is assessing four patients and the patient with DVT is the nurse suspect to be at increased risk of pulmonary embolism because of immobility.

Pulmonary embolism is a blockage in one of the pulmonary arteries. In most cases, embolism is caused by blood clots that visit the lungs from deep veins inside the legs or, rarely, from veins in several elements of the body.

Immobility will increase the danger of presumptively because of stasis of blood flow within the blood vessel system. Relevant settings of immobility embrace rest, plaster casts on the legs and presis of the legs because of neurological medical conditions.

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A patient diagnosed with the flu is prescribed cough medication, hydrocodone (hycodan). what information should the nurse teach the patient regarding this medication?

Answers

The symptoms of a runny or stuffy nose, sneezing, coughing, and sinus congestion brought on by allergies or the common cold are treated with the prescription drug hycodan. Hycodan may be taken either on its own or with other drugs.

By directly affecting the respiratory regions of the brainstem, HYCODAN can cause dose-dependent respiratory depression (see Overdose). HYCODAN use has been associated with fatal respiratory depression in children under 6 years of age. Fatal respiratory depression has been associated with her HYCODAN overdose in adults, adolescents, and her children older than 6 years. Accidental overdose, bronchopneumonia, coma, cyanosis, mortality, neonatal death, dyspnea, pulmonary edema, respiratory arrest, and respiratory depression are among the postmarketing events that may occur in children under 6 years of age department. Accidental overdose, cardiac arrest, drug-related death, non-accidental overdose, and drug overdose are examples of post-marketing events observed in individuals aged 6 years and older.

The above points must be kept in mind while using this medication.

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Which action should a nurse implement when assessing a nonnative client to facilitate collection of subjective data?

Answers

The action that a nurse should implement when assessing a nonnative client to facilitate collection of subjective data is speak to the client using local slang.

Subjective nursing data are collected from sources apart from the nurse's observations. This sort of knowledge represents the client's perceptions, feelings, or issues as obtained through the nursing interview. The client is taken into account the first supply of subjective data.

In order to collect subjective data from a patient, the nurse should gather objective information, asking related people subjective questions, conducting examinations and asking clarifying questions.

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A patient has skin that is slightly blue in color. a likely treatment for this person might be ________.

Answers

Answer:

giving the patient supplemental oxygen by mask

Explanation:

a little girl at the local elementary school is writing symphonies for full orchestra at age 7. you’re curious to know the child’s personality and other psychological qualities. which type of study would you conduct?

Answers

Answer:

Interview, rating scales, self-reports, personality inventories, projective techniques, and behavioral observation.

Sometimes self-report questionaires.

I hope this helps!

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Have an amazing day!

Personality and other psychological qualities are used to determine the characteristic of the individual based on numerous factors. A case study can be conducted on the girl.

What is a case study?

A case study has been defined as the records that represent the behavior and experiences of the individual. It is a process that records the details of the community or the person showing the characteristic behavior.

It analyzes the personality and other psychological qualities of the individual that allows the understanding of the in-depth and thorough factors that are present in real-life situations. It allows the differentiation of the personality.

Therefore, case studies can be used to know and understand personality and other psychological qualities.

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Remembering the unconscious/implicit biases can be positive or negative, how might these biases impact healthcare?

Answers

Implicit biases affect real-world outcomes in a variety of areas, including employment, education, criminal justice, housing, and health care.

What are six strategies to combat implicit biases?

Following are the six strategies to combat implicit biases:

•Affirm your commitment to egalitarianism consciously.

•Admit that your conscious values are just as much a part of "the real you" as your unconscious bias. Both your conscious and subconscious selves are you.

Recognize differences rather than acting as though you are oblivious to them.

•Aim to become friends with individuals from various groups.

•Awarely consider the traits and objectives you may share.

•Speak out against clear-cut instances of bias when you come across them.

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A nurse is assessing a client who is experiencing hypoglycemia caused by an insulin reaction. the client is conscious and can follow directions. which intervention is most appropriate at this time?

Answers

A nurse is assessing a client who is experiencing hypoglycemia caused by an insulin reaction and the client is conscious and can follow directions so the intervention which is most appropriate at this time is  intravenous (IV) dextrose followed by infusion of glucose.

Hypoglycemia is a reaction to an excessive amount of insulin in your system. The insulin hastens the lowering of the glucose level. Then while not uptake or along with your body burning sugar quicker because of physical activity, the extent of sugar becomes hazardously low.

If you have got hypoglycemia symptoms, do eat or drink fifteen to twenty grams of fast-acting carbohydrates. These are sugary foods or drinks while not proteins or fat that are simply converted to sugar within the body. Try glucose tablets or gel, fruit juice, regular (not diet) soda, honey, or sweet candy.

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