A nurse is caring for a cent who has diabetes mellitus, type 1 Day 3 of hospital

0700

Temperature 37.3°C (981) Boot

Heart rate 121

118/62 mm Hg Temperature 30.8°

Be pressure 104mm Hg 0730

Fingerstick blood glucose, fasting 110 mg/dl. (74 to 106 mg/dL) NPH insulin 40 units subcutaneous administered into abdomen

0830

Client reports nausea with emesis: vomited morning meal 1130

Client reports feeling shaky, hungry, skin cool and diaphoretic Fingerstick blood glucose 55 mg/dL

HbA1c 8.01% (less than 7% greater than 129%)

Select the findings that require immediate follow up

Glucose at 1130

Client report of shakiness

Temperature

Oxygen saturation

Heart rate

HbA1c

Answer and Explanation

Correct Answer : A,B,E

A.   Glucose at 1130 - A fingerstick blood glucose level of 55 mg/dL indicates hypoglycemia and requires attention. This has to be addressed to prevent complications.
B.   Client report of shakiness - Shakiness, hunger, cool skin, and diaphoresis are classic symptoms of hypoglycemia, which requires immediate intervention to prevent further deterioration.
C.   Temperature - While changes in temperature may indicate infection or other issues, the client's symptoms of hypoglycemia are more urgent.
D.   Oxygen saturation - While oxygen saturation is important, it is not typically affected in hypoglycemic episodes and is therefore not the priority in this case.
E.   Heart rate - Tachycardia is a common symptom of hypoglycemia and should be addressed immediately
F.   HbA1c - HbA1c reflects long-term blood glucose control and does not require immediate follow-up in this acute situation.

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Correct Answer is C

Explanation

A. Scientific leadership involves making decisions based on data and evidence. This option doesn't fit the scenario described.
B. Laissez-faire leadership allows group members to make decisions without much interference from the leader. However, in this scenario, the charge nurse organizes a vote, indicating some
level of leadership involvement.

C. Democratic leadership involves seeking input from group members and making decisions through a process of discussion and voting, which aligns with the charge nurse's approach.
D. Autocratic leadership involves making decisions without input from others, which is not the case here where the charge nurse seeks input from the committee members.

A. Ammonia B. Glucose C. Bicarbonate D. Potassium

Correct Answer is A

Explanation

A. Lactulose is commonly prescribed for clients with cirrhosis to reduce blood ammonia levels by promoting the excretion of ammonia in the stool. Elevated ammonia levels can lead to hepatic encephalopathy.
B. Lactulose does not directly affect glucose levels in the bloodstream. Its primary action is on ammonia.
C. Bicarbonate levels are not typically targeted by lactulose therapy in cirrhosis.

D. Lactulose does not affect potassium levels directly. Its main therapeutic action in cirrhosis is related to reducing ammonia levels.

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Naxlex Comprehensive Predictor Exams

The charge nurse on a hospital unit is leading a committee that must choose new paint colors for the nurse's station. The charge nurse elicits the opinions of all group members and then organizes a vote. The charge nurse's leadership style can be said to be:

Correct Answer is C

Explanation

Correct Answer is A

Explanation

A nurse is providing teaching for a client diagnosed with gastroesophageal reflux disease (GERD) about ways to manage the condition. Which of the following instructions should the nurse include?

A nurse is assessing a client diagnosed with diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?

A nurse is teaching a client diagnosed with gastroesophageal reflux disease (GERD) about managing their illness. Which of the following recommendations should the nurse include in the teaching?

A nurse is performing gastric lavage on a client using a large-bore NG tube. Which of the following actions should the nurse take?

A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?