2021 MEDSURG HESI V1 55 QUESTIONS ALL ANSWERED CORRECT

The nurse obtains a fingerstick blood glucose level utilizing bedside lancet/glucose meter equipment from a client with a prescribed sliding scale insulin protocol. The meter indicated 56 mg/dl (3.12 mmol/l). At this time, which intervention should the nurse implement first? A. Collect a blood specimen by venipuncture to send to the laboratory for serum glucose analysis B. Prepare the prescribed dose of rapid acting insulin from the sliding scale instructions C. Give the client six ounces of non-diet carbonated soda and instruct client to drink it entirely D. Document the glucose reading in the electronic medical record as the only action needed 2. To achieve maximum mobility and independence for a client multiple sclerosis (MS), which intervention is most important for the nurse to implement? A. Provide a walker for ambulation B. Frequently assist client to bathroom C. Apply alternating patches over eyes D. Teaching strengthening exercises