A nurse is assessing a client who has diabetes mellitus. The nurse should identify that which of the following findings are manifestations of hypoglycemia? (Select all that apply.)

Increased thirst

Urinary frequency

Weakness

Skin flushing

Answer and Explanation

The Correct Answer is C

A. Increased thirst: This is typically a manifestation of hyperglycemia rather than hypoglycemia. Hyperglycemia can lead to dehydration due to the body’s attempt to flush out excess glucose through urine, which then causes increased thirst.
B. Urinary frequency: Urinary frequency is also a symptom commonly associated with hyperglycemia rather than hypoglycemia. When blood sugar levels are too high, the kidneys try to remove excess glucose, leading to frequent urination causing polyuria and is typically seen in hyperglycemic states, not in low blood sugar situations.
C. Weakness: Weakness is a classic symptom of hypoglycemia. When blood glucose levels drop too low, the body does not have enough fuel to function properly, leading to fatigue and weakness. This symptom is often experienced as one of the early signs of hypoglycemia and should be closely monitored in diabetic patients.
D. Skin flushing: Flushed skin is not a typical feature of hypoglycemia. Hypoglycemia more commonly causes cool, pale, and clammy skin due to sympathetic nervous system activation.

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Correct Answer is B

Explanation

A. Initiate a low-protein diet: A low-protein diet is inappropriate for burn clients, who require increased protein to support wound healing, tissue regeneration, and immune function. Protein needs are significantly elevated in clients with burns.
B. Provide a vitamin C supplement: Vitamin C supports collagen synthesis, promotes wound healing, and enhances immune function. Clients with partial-thickness burns benefit from supplementation to aid skin repair and recovery.
C. Administer a potassium-sparing diuretic: Diuretics are generally avoided in the early stages of burn care due to fluid shifts and risk of hypovolemia. Fluid resuscitation is prioritized to stabilize hemodynamics and maintain organ perfusion.
D. Limit zinc intake: Zinc plays a critical role in tissue healing and immune support. Limiting zinc would be counterproductive; burn clients often require additional zinc to meet increased metabolic demands.

A. Fortified cereals B. Ground beef C. Kale D. Lima beans

Correct Answer is B

Explanation

A. Fortified cereals: Fortified cereals are a good source of non-heme iron, which is iron added during processing and derived from plant sources or synthetic compounds. While helpful in increasing iron intake, non-heme iron is not absorbed as efficiently by the body compared to heme iron found in animal-based foods.
B. Ground beef: Ground beef is a rich source of heme iron, which is derived from animal hemoglobin and myoglobin. Heme iron is better absorbed by the human body than non-heme iron, making it particularly beneficial for pregnant clients who have increased iron needs to support fetal development and increased blood volume.
C. Kale: Kale contains non-heme iron, as it is a plant-based food. While it contributes to overall iron intake and is nutritionally valuable, the form of iron in kale is less readily absorbed by the body, especially in the absence of vitamin C, which enhances non-heme iron absorption.
D. Lima beans: Lima beans also provide non-heme iron, similar to other legumes and plant-based sources. Though they can support iron intake, they are not considered a source of heme iron and therefore do not offer the same absorption efficiency as animal-based options like meat.

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A nurse is assessing a client who has diabetes mellitus. The nurse should identify that which of the following findings are manifestations of hypoglycemia? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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