HESI RN EXIT 1 PROCTORED EXAM
The nurse is preparing a 50 mL dose of 50% Dextrose IV for a client with insulin shock. How should the nurse administer the medication?
Explanation & Rationale
A. Adding Dextrose to a TPN solution may not be appropriate for the immediate management of insulin shock. B. Mixing the Dextrose in a piggyback solution may dilute the concentration and delay the delivery of glucose, which is not ideal in the acute management of insulin shock. C. Pushing the undiluted Dextrose slowly through the currently infusing IV allows for rapid administration of glucose to address the hypoglycemia associated with insulin shock. D. Diluting the Dextrose in a liter of Normal Saline solution would significantly reduce the concentration and delay the delivery of glucose, which is not desirable in the acute management of insulin shock.
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