A nurse in the emergency department is caring for a client.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
The client reports symptoms of vomiting and diarrhea for the past 12 hours. These symptoms are classic indicators of fluid loss from the gastrointestinal tract. Vomiting and diarrhea lead to significant fluid depletion, resulting in a fluid volume deficit. This deficit can lead to dehydration, electrolyte imbalances, and potentially hypotension (low blood pressure), which are consistent with the client's clinical presentation of tachycardia (increased heart rate) and hypotension (blood pressure 102/58 mmHg). The plan for IV fluid replacement upon admission reflects the need to address and correct this fluid deficit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Clean drinking water is crucial for preventing waterborne diseases, which are transmitted through contaminated water sources (indirect transmission). It does not directly address diseases transmitted from person to person (direct transmission).
B. Proper sanitation practices, such as hand hygiene, proper disposal of waste, and sanitation of living environments, can prevent the spread of diseases transmitted through direct contact (e.g., fecal-oral route, respiratory droplets). Effective sanitation reduces the contamination of surfaces and objects that can harbor infectious agents, thereby interrupting direct transmission routes.
C. Pest control primarily targets diseases transmitted by vectors (such as mosquitoes, ticks, rodents) and is important for preventing diseases like malaria, dengue fever, and Lyme disease. While vector control is essential for preventing these diseases, it does not directly address diseases transmitted directly from person to person.
D. Isolation involves separating individuals who are infected or suspected of being infected from others to prevent the spread of disease. Isolation measures are crucial for controlling diseases that are highly contagious and spread through direct contact (e.g., airborne transmission, close personal contact). By isolating infected individuals, the nurse can effectively prevent direct transmission within the community.
Correct Answer is A
Explanation
A. Oral hypoglycemic medications are often prescribed to lower blood glucose levels in individuals with type 2 diabetes mellitus. They work by either increasing insulin production, improving insulin sensitivity, or reducing glucose production by the liver. These medications are typically considered when lifestyle modifications alone are insufficient to achieve target blood glucose levels.
B. Insulin therapy is considered in type 2 diabetes who cannot achieve adequate glucose control with oral medications alone.
C. Peritoneal dialysis is not typically indicated as a secondary prevention measure for diabetes mellitus. Peritoneal dialysis is a treatment for end-stage renal disease (ESRD) when the kidneys can no longer function effectively.
D. Fluid restrictions may be necessary in clients with advanced kidney disease (nephropathy) resulting from diabetes. However, fluid restrictions alone do not constitute a secondary prevention action for diabetes mellitus itself.
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