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A nurse is caring for a client who has type 2 diabetes mellitus and notes the client is declining. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?

Hypertension

Fruity breath

Ketosis

Glucose level of 650 mg/dL

Answer and Explanation

The Correct Answer is D

A. Hypertension can be a symptom of many conditions and is not specific to HHS.

B. Fruity breath is typically associated with diabetic ketoacidosis (DKA) due to the presence of acetone, not HHS.

C. Ketosis is a key feature of DKA, not HHS. In HHS, ketosis is usually absent or minimal.

D. A glucose level of 650 mg/dL is indicative of HHS, which is characterized by extremely high blood glucose levels without significant ketosis. HHS often occurs in type

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Correct Answer is B

Explanation

A. Drowsiness is not typically associated with thyrotoxicosis; rather, clients are more likely to experience restlessness or insomnia.

B. Heat intolerance is a common symptom of thyrotoxicosis, reflecting the increased metabolic rate associated with excessive thyroid hormone levels.

C. Bradycardia is associated with hypothyroidism, not thyrotoxicosis. In thyrotoxicosis, tachycardia or palpitations are more likely.

D. Dry skin is a symptom of hypothyroidism, whereas in thyrotoxicosis, the skin may become warm, moist, and flushed.

A. Airway patency B. Temperature C. Pain control D. Urination

Correct Answer is A

Explanation

A. Airway patency is the highest priority following a thyroidectomy due to the risk of airway obstruction from swelling or hematoma formation near the surgical site. Compromised airway can lead to respiratory distress and requires immediate attention.

B. While monitoring temperature is important for detecting potential infections, it is not the immediate priority.

C. Pain control is important for comfort and recovery, but it is not life-threatening.

D. Urination should be monitored postoperatively, but it is not as critical as ensuring a patent airway.

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A nurse is caring for a client who has type 2 diabetes mellitus and notes the client is declining. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?

Correct Answer is A

Explanation

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A nurse is caring for a client who has type 2 diabetes mellitus and notes the client is declining. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?

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A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?