A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia.

Which of the following assessment findings supports this suspicion?

Cool, clammy skin.

Acetone breath.

Kussmaul respirations.

Increased urine output.

Answer and Explanation

The Correct Answer is A

This statement indicates an understanding of the teaching because cool, clammy skin is a common symptom of hypoglycemia.
Choice B is incorrect because acetone breath is a symptom of hyperglycemia (high blood sugar), not hypoglycemia (low blood sugar).
Choice C is incorrect because Kussmaul respirations (deep and labored breathing) are a symptom of hyperglycemia, not hypoglycemia.
Choice D is incorrect because increased urine output is a symptom of hyperglycemia, not hypoglycemia.

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Correct Answer is D

Explanation

The first action the nurse should take is to collect information about the irritant that caused the injury.
This information is important because it can help determine the appropriate treatment and irrigation solution to use.
Choice A is incorrect because airborne precautions are used to prevent the spread of infectious diseases that are transmitted through the air, and are not necessary in this situation.
Choice B is incorrect because administering proparacaine eye drops into the affected eye is not the first action the nurse should take.
Proparacaine is a topical anesthetic that can be used to numb the eye before performing ocular irrigation, but it is not the first action the nurse should take.
Choice C is incorrect because installing 0.9% sodium chloride solution into the affected eye is not the first action the nurse should take; the nurse should first collect information about the irritant that caused the injury before performing ocular irrigation.

A. "It's going to be difficult to tell my parents I can't take them to their appointments anymore.". B. "I feel bad that I have to ask my partner to keep the house clean.". C. "These crutches will make it possible to care for my child.". D. "I will need to have my partner take over shopping for groceries and cooking the meals for us.".

Correct Answer is C

Explanation

The statement “These crutches will make it possible to care for my child” indicates that the client is adapting to their role change by finding ways to continue fulfilling their responsibilities despite their injury.
Choice A is incorrect because it indicates that the client is concerned about not being able to fulfill their responsibilities.
Choice B is incorrect because it indicates that the client feels guilty about not being able to fulfill their responsibilities.
Choice D is incorrect because it indicates that the client is relying on someone else to fulfill their responsibilities.

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A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia.

Which of the following assessment findings supports this suspicion?