A nurse is assessing a client who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?
Cool, clammy skin
Vomiting
Fruity odor on the client's breath
Bradycardia
The Correct Answer is A
A. Cool, clammy skin is a classic sign of hypoglycemia due to activation of the sympathetic nervous system.
B. Vomiting is more commonly associated with diabetic ketoacidosis (DKA) or other gastrointestinal issues, not hypoglycemia.
C. Fruity odor on the breath is a sign of ketoacidosis, not hypoglycemia.
D. Bradycardia is not typical of hypoglycemia; tachycardia is more common due to sympathetic stimulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sodium bicarbonate is used to correct metabolic acidosis, not hypocalcemia.
B. Calcium chloride is used to treat hypocalcemia, which is indicated by confusion, hallucinations, and a positive Chvostek sign.
C. Insulin and glucose are used to treat hyperkalemia.
D. Potassium chloride is used to correct hypokalemia, not hypocalcemia.
Correct Answer is A
Explanation
A. Hypomagnesemia is common in chronic alcoholism and can cause increased blood pressure, hyperactive reflexes, abdominal issues, and mood changes.
B. Hypermagnesemia typically causes decreased reflexes and hypotension.
C. Hypocalcemia can cause neuromuscular irritability but is less directly associated with these symptoms in alcoholism.
D. Hypercalcemia generally causes decreased reflexes and lethargy.
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