A client complains of feeling dizzy, lightheaded, and shaky after playing softball in the summer. Which of the following is most likely to explain the symptoms?
Delay in using her insulin
Dehydration due to heat exposure
Overdose of insulin
Excessive carbohydrate intake
The Correct Answer is B
Choice A reason: Delaying insulin may cause hyperglycemia, not hypoglycemia symptoms like shakiness and dizziness.
Choice B reason: Playing softball in the summer heat increases fluid loss. Dehydration can cause dizziness, lightheadedness, and weakness, especially in individuals with diabetes.
Choice C reason: Insulin overdose can cause hypoglycemia, but the context suggests physical exertion and heat exposure as more likely causes.
Choice D reason: Excessive carbohydrate intake would typically raise blood glucose, not cause hypoglycemic symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Hyperkalemia (potassium level of 6 mEq/L) can cause life-threatening cardiac dysrhythmias. Evaluating the ECG is the priority to detect any cardiac conduction abnormalities.
Choice B reason: Bowel sounds are not directly affected by hyperkalemia and are not a priority in this context.
Choice C reason: While blood pressure monitoring is important in general, it is not the most urgent concern when potassium levels are critically elevated.
Choice D reason: Consulting a dietitian may help with long-term potassium management, but it is not an immediate intervention for hyperkalemia.
Correct Answer is A
Explanation
Choice A reason: Aspirin inhibits platelet aggregation and increases bleeding risk. Discontinuing it preoperatively is essential to reduce the chance of hemorrhage.
Choice B reason: Hydration is important for general health but does not directly impact bleeding risk.
Choice C reason: Leafy vegetables contain vitamin K, which affects clotting, but limiting them is not a standard preoperative intervention unless the client is on warfarin.
Choice D reason: NPO status is important to prevent aspiration during anesthesia but does not address hemorrhage risk.
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