A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?

Dizziness

Increased urination

Sweating

Double vision

Answer and Explanation

The Correct Answer is B

Increased urination, or polyuria, is a common clinical finding in clients with hyperglycemia. High levels of glucose in the blood can cause the kidneys to work harder to filter out the excess glucose, resulting in increased urine output.

Option A, dizziness, is a nonspecific symptom and can occur for a variety of reasons, including hypoglycemia, hyperglycemia, or dehydration.

Option C, sweating, is also a nonspecific symptom and can occur for a variety of reasons, including hypoglycemia, hyperglycemia, or anxiety.

Option D, double vision, is a symptom that can occur in severe cases of hyperglycemia or diabetic ketoacidosis. However, it is not a common or early symptom of hyperglycemia.

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Correct Answer is B

Explanation

Fiber is an important nutrient during pregnancy and can help alleviate constipation. Lentils are an excellent source of dietary fiber, with one cup of cooked lentils containing about 15.6 grams of fiber. Asparagus contains about 2.8 grams of fiber per cup, oatmeal contains about 4 grams of fiber per cup, and cabbage contains about 2.6 grams of fiber per cup.

A. Hypertension B. Hyperglycemia C. Respiratory rate 16/min D. Urine output 20 mL/hr

Correct Answer is D

Explanation

Magnesium sulfate is a medication commonly used to treat preeclampsia, a pregnancy-related condition characterized by high blood pressure and damage to other organ systems, such as the kidneys. However, magnesium sulfate can also cause adverse reactions, and the nurse should be aware of these reactions.

The nurse should recognize that a urine output of 20 mL/hr is a manifestation of an adverse reaction to magnesium sulfate, as magnesium sulfate can cause decreased urine output, which can lead to dehydration and electrolyte imbalances. The nurse should promptly report this finding to the provider, as it may require immediate intervention.

Option A is incorrect because hypertension is a symptom of preeclampsia, not an adverse reaction to magnesium sulfate.

Option B is also incorrect because hyperglycemia is not an adverse reaction to magnesium sulfate.

Option C is also incorrect because a respiratory rate of 16/min is within the normal range.

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A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which selection has the highest fiber content per cup?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?

Correct Answer is D

Explanation

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