A nurse should expect which of the following conditions in a client who has hypoglycemia?
Oliguria.
Diplopia.
Hypoglycemia.
Dizziness.
The Correct Answer is D
Choice A reason: Oliguria is not a condition that a nurse should expect in a client who has hypoglycemia. Oliguria is a reduced urine output, typically defined as less than 0.5 ml/kg/hour in an adult³. Oliguria can be a sign of dehydration, kidney failure, or urinary obstruction, but it is not related to low blood sugar levels.
Choice B reason: Diplopia is not a condition that a nurse should expect in a client who has hypoglycemia. Diplopia is a double vision, or seeing two images of a single object. Diplopia can be caused by various eye problems, such as strabismus, cataracts, or nerve damage, but it is not a common symptom of low blood sugar levels.
Choice C reason: Hypoglycemia is not a condition that a nurse should expect in a client who has hypoglycemia. Hypoglycemia is the condition itself, not a symptom. Hypoglycemia is a low blood sugar level, usually below 70 mg/dl. Hypoglycemia can result from taking too much insulin or other diabetes medications, skipping or delaying meals, exercising more than usual, or drinking alcohol.
Choice D reason: Dizziness is a condition that a nurse should expect in a client who has hypoglycemia. Dizziness is a feeling of lightheadedness, faintness, or unsteadiness. Dizziness can occur when the brain does not receive enough glucose, which is its main energy source. Dizziness can also be accompanied by other symptoms of hypoglycemia, such as confusion, hunger, sweating, shakiness, or weakness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Early detection of disease is the primary goal of screening for lipid disorders, as it can identify clients who are at risk of developing cardiovascular diseases, such as coronary artery disease, stroke, or peripheral artery disease. Lipid disorders are abnormal levels of cholesterol or triglycerides in the blood, which can lead to plaque buildup in the arteries and reduce blood flow to the heart, brain, or limbs. Screening for lipid disorders can help diagnose and treat these conditions before they cause serious complications.
Choice B reason: Client enrollment in prevention programs is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Prevention programs are interventions that aim to reduce the risk factors or prevent the onset of diseases. Client enrollment in prevention programs may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be referred to programs that offer education, counseling, medication, or lifestyle modification.
Choice C reason: Promotion of appropriate lifestyle changes is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Lifestyle changes are behaviors that can improve health and well-being, such as eating a balanced diet, exercising regularly, quitting smoking, or managing stress. Promotion of appropriate lifestyle changes may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be advised to adopt healthier habits to lower their cholesterol or triglycerides.
Choice D reason: Identification of family history of medical problems is not the primary goal of screening for lipid disorders, although it is a beneficial outcome. Family history of medical problems is a genetic or environmental factor that can increase the likelihood of developing certain diseases. Identification of family history of medical problems may be a result of screening for lipid disorders, as clients who have abnormal lipid levels may be asked to provide information about their relatives' health conditions.
Correct Answer is B
Explanation
Choice A reason: Arranging for Meals on Wheels assistance is not the priority action, as it does not address the underlying issue of the client's partner's refusal to help with feeding. Meals on Wheels may also not be suitable for the client's dietary needs and preferences.
Choice B reason: Determining the client's ability to self-feed is the priority action, as it will help the nurse assess the client's nutritional status and needs, as well as the level of support required from the partner or other caregivers. The nurse can also educate the partner on the importance of adequate nutrition and hydration for the client, and provide strategies to facilitate feeding.
Choice C reason: Directing the home health aide to assist with meals is not the priority action, as it may not be feasible or acceptable to the client or the partner. The home health aide may also not have the skills or training to assist with feeding a client with Alzheimer's disease.
Choice D reason: Referring the client's partner to an Alzheimer's support group is not the priority action, as it does not address the immediate problem of the client's lack of eating. However, it may be a helpful intervention in the long term, as it can provide the partner with emotional support, education, and resources to cope with the challenges of caring for a client with Alzheimer's disease.
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