A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?

Hyperglycemia

Neuropathy

Hypoglycemia

Hypokalemia

Answer and Explanation

The Correct Answer is C

A. Hyperglycemia typically presents with symptoms such as polyuria, polydipsia, and blurred vision, rather than these symptoms.

B. Neuropathy involves symptoms like numbness and tingling, not headache, restlessness, fatigue, and hunger.

C. Hypoglycemia presents with symptoms including headache, restlessness, fatigue, and hunger.

D. Hypokalemia presents with symptoms like muscle weakness and cramping, not the symptoms described.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Slurred speech can indicate increased ICP as it may affect neurological function.

B. Headache is a common symptom of increased ICP.

C. Pupillary changes can indicate increased ICP, affecting cranial nerve function.

D. Neck pain and stiffness are more associated with meningitis or other conditions, not specifically increased ICP.

E. Disorientation can be a sign of increased ICP affecting brain function.

A. Yellow sclera B. Increasing AST level C. Weight loss D. Mantoux test result E. Increasing ALT level

Correct Answer is A

Explanation

A. Yellow sclera
Yellow sclera indicates jaundice, which could be a sign of liver dysfunction. Both isoniazid and rifampin can cause hepatotoxicity, and monitoring for jaundice is crucial to ensure the safety of the client.

B. Increasing AST level
AST level is slightly elevated but remains in the upper range of normal. Continued monitoring is necessary but may not require immediate reporting unless liver function significantly deteriorates.

C. Weight loss
Weight loss is consistent with the client’s condition and does not necessarily require immediate reporting unless it is severe or unmanageable.

D. Mantoux test result
The Mantoux test result is negative, which may be expected in the early phase of tuberculosis treatment. It should be monitored over time.

E. Increasing ALT level
ALT is slightly elevated but still within normal limits, though it's essential to continue monitoring for trends.

F. Reddish-orange urine color
Reddish-orange urine is a known side effect of rifampin and does not typically require immediate reporting

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A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?

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