A patient taking somatropin growth hormone needs to be educated on signs and symptoms of hyperglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY
Excessive urination
Excessive thirst
Diaphoresis
Atrial fibrillation
Excessive hunger
Correct Answer : A,B,E
Choice A reason: Excessive urination is a sign of hyperglycemia because the body tries to flush out the excess glucose in the blood through the urine. This can also lead to dehydration and electrolyte imbalance.
Choice B reason: Excessive thirst is a sign of hyperglycemia because the body loses fluid and becomes dehydrated due to frequent urination. The thirst mechanism is activated to replenish the fluid loss.
Choice C reason: Diaphoresis is not a sign of hyperglycemia, but rather a sign of hypoglycemia (low blood sugar). Hypoglycemia can cause sweating, shakiness, anxiety, and confusion.
Choice D reason: Atrial fibrillation is not a sign of hyperglycemia, but rather a possible complication of hyperglycemia. Hyperglycemia can damage the blood vessels and the heart, increasing the risk of arrhythmias, such as atrial fibrillation.
Choice E reason: Excessive hunger is a sign of hyperglycemia because the body is unable to use the glucose in the blood for energy. The cells are starved of fuel, and the hunger signal is triggered to stimulate food intake..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This choice is incorrect because stomach distension and constipation are not common side effects of furosemide. They may be related to other causes, such as diet, fluid intake, or medication interactions. The nurse should assess the client's abdominal status and bowel habits and provide appropriate interventions, such as increasing fiber, fluids, or laxatives.
Choice B reason: This choice is incorrect because IV site irritation, redness, and pain are not specific side effects of furosemide. They may be caused by other factors, such as infection, infiltration, or phlebitis. The nurse should inspect the IV site and catheter and change them if needed. The nurse should also monitor the client's vital signs and blood cultures for signs of infection.
Choice C reason: This choice is correct because hearing loss or impairment is a rare but serious side effect of furosemide. It can occur due to damage to the inner ear or the auditory nerve. It may be temporary or permanent, depending on the dose and duration of furosemide therapy. The nurse should stop the infusion of furosemide and notify the provider immediately. The nurse should also assess the client's hearing and balance and provide safety measures.
Choice D reason: This choice is incorrect because frequent urination is an expected effect of furosemide. Furosemide is a diuretic that increases the excretion of water and electrolytes through the urine. It helps to reduce fluid overload and edema in clients with heart failure. The nurse should measure and record the client's intake and output and monitor the client's fluid and electrolyte status.
Correct Answer is ["48"]
Explanation
To calculate the amount of gentamicin the nurse should administer in milliliters (mL) for a client who weighs 210 lb, we can use the following steps:
Given:
Client's weight: 210 lb
Gentamicin dose: 5 mg/kg
Available concentration: 10 mg/mL
Step 1: Convert the client's weight from pounds (lb) to kilograms (kg)
Client's weight in kg = Client's weight in lb / 2.2
Client's weight in kg = 210 lb / 2.2
Client's weight in kg ≈ 95.45 kg
Step 2: Calculate the total dose of gentamicin required
Total dose = Client's weight in kg × Gentamicin dose
Total dose = 95.45 kg × 5 mg/kg
Total dose = 477.25 mg
Step 3: Calculate the volume of gentamicin to be administered in mL
Volume = Total dose / Concentration
Volume = 477.25 mg / 10 mg/mL
Volume ≈ 47.725 mL
Rounding to the nearest whole number:
Volume ≈ 48 mL
Therefore, the nurse should administer approximately 48 mL of gentamicin via intermittent IV bolus to the client who weighs 210 lb.
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