0.9% sodium chloride (normal saline) via continuous infusion at 100 ml/hr check blood glucose hourlynpo (nothing by mouth) ondansetron 4 mg intravenous push q 4 hours PRN nausea and vomiting complete metabolic panel q 4 hours glucagon 1 mg intramuscular (IM) for symptoms of hypoglycemia regular insulin via continuous infusion via protocol (below)The nurse reviews the flow sheet and orders. ➢ Based on all of the clinical data, what actions should the nurse take at 1200? Select all that apply.

Notify the primary health care provider.

Reduce the insulin infusion to 6 units/hr.

Administer the prescribed glucagon.

Request an order for a serum sodium level.

Request an order for a serum potassium level.

NCLEX Question: 0.9% sodium chloride (normal saline) via con

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Critical Care

Clinical illustration

Clinical illustration

The nurse reviews the flow sheet and orders.

➢ Based on all of the clinical data, what actions should the nurse take at 1200? Select all that apply.

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