Rationale-Nonnutritive sugar substitute produces a sweet taste without contributing any calories. For a client with type 1 diabetes mellitus, the best recommendation for a sweetener would be a nonnutritive sugar substitute. These substitutes are considered safe and do not affect blood sugar levels, which is crucial for managing diabetes. They include aspartame, sucralose, and stevia, offer sweetness without the additional calories and carbohydrates, making them a suitable choice for individuals with diabetes. Natural honey and corn syrup, while natural, are high in carbohydrates and can cause an increase in blood sugar levels. This interferes with the titration of insulin and should be avoided.

Rationale-Blood is considered an isotonic solution because its solute concentration is similar to that of the cells in the body, allowing for free movement of water across cell membranes without causing a net influx or efflux of water. This isotonic nature is crucial for maintaining cell integrity and function.

Isotonic solutions have the same osmotic pressure as body’s plasma

B-Hypertonic solution like 3% saline have higher osmotic pressure compared to plasma. This type of solutions draw water from the cells causing shrinkage

D-Hypotonic solution like 0.45% saline have lower osmotic pressure as compared to plasma. They cause swelling of cells with eventual damage

Rationale- the most appropriate action for a nurse to plan would be to increase the client's fluid intake. This action helps to restore the fluid volume in the body, thereby improving blood pressure levels.
Proper hydration is crucial in dehydrated and hypotensive clients.
B- The Valsalva maneuver is not typically recommended for hypotension as it can further decrease blood pressure.
C- Elevating the head of the bed is generally advised for clients with respiratory issues, not primarily for those with hypotension. Guided imagery can be a useful tool for relaxation but does not directly address the immediate physiological needs of dehydration and hypotension.
D- Relaxation does not solve the client’s issues

Rationale- When administering morphine intravenously, it is essential to have an opioid antagonist available to reverse the effects of opioids in case of an overdose or adverse reaction. Naloxone is the medication typically used for this purpose. It can quickly reverse the effects of morphine, making it an essential safety measure during opioid administration.

A Neostigmine is used to reverse the effects of certain muscle relaxants,

B Protamine is used to reverse the effects of heparin, and

D Flumazenil is used to reverse the effects of benzodiazepines, none of which are relevant in the context of morphine administration.

D-Flumazenil is an antidote for benzodiazepine

Rationale-The symptoms of sweating and feeling anxious in a client with type 1 diabetes mellitus are indicative of hypoglycemia. Hypoglycemia occurs when blood sugar levels fall too low, which can happen with the administration of insulin or other diabetes medications, missed meals, or increased exercise without adequate dietary adjustment. These symptoms are part of the body's natural response to low blood sugar, as it tries to signal the need for a source of energy. It is important for the nurse to recognize these signs promptly and respond with appropriate interventions, such as providing a fastacting carbohydrate, to prevent further complications associated with hypoglycemia.

A, C -Hyperglycemia and ketoacidosis presents with respiratory distress and a fruity odor. They occur due

D-Nephropathy presents with lack or reduced urine output. Injury occurs the renal tubules reduces renal ultrafiltration and reabsorption.

Dose = Weight in kgs ×Dose per kg 1kg =2.2046lbs

Aspirin can cause gastrointestinal irritation and increase the risk bleeding due to its effect on platelet aggregation. While other side effects such as gastrointestinal discomfort, nausea, and heartburn are common, bleeding is a serious side effect that requires close monitoring.

A, B, D It is less likely for aspirin to cause blurred vision, constipation, or insomnia as direct adverse effects. Aspirin has antiplatelet effects which increases risk of bleeding

Rationale- Peripheral edema, which is swelling typically in the arms and legs due to the accumulation of fluid, is a common finding in hypervolemia. This condition can also lead to symptoms such as bloating, rapid weight gain, and high blood pressure due to the increased fluid in the bloodstream. Hypervolemia causes the accumulation of excessive fluid in the tissues leading to edema

A,B,C- Oliguria, bradycardia, and hypotension are not typical findings associated with hypervolemia. Instead, they are features of hypovolemia

Rationale- metabolic acidosis, a nurse would expect to find an arterial blood gas (ABG) result showing a pH below 7.35, indicating an acidic state. Metabolic acidosis is characterized by a decrease in bicarbonate (HCO₃), so an HCO₃ level above 26 mEq/L would not be typical for this condition. Instead, a value below the normal range (22-26 mEq/L) would be expected. PaCO₂ levels above 45 mm Hg would suggest respiratory acidosis, not metabolic acidosis.

A- Type 2 diabetes is multifactorial- both genetic and lifestyle have a role in its development. Individuals with a positive family history for diabetes are more likely to develop the illness. Exposure to sedentary lifestyle increases the risk even more in these individuals.

This condition is characterized by insulin resistance, where the body's cells do not respond properly to insulin, and by a relative insulin deficiency, where the pancreas does not produce sufficient insulin for the body's needs. Lifestyle changes, such as diet and exercise, can be very effective in managing type 2 diabetes because they can improve the body's sensitivity to insulin and help control blood glucose levels.

Describes type 1 diabetes, where the pancreas produces little to no insulin, which is different from type 2 diabetes. In type 2 diabetes the body produce insulin but is either inadequate or there is increased tissues resistance to insulin