An occupational health nurse is screen a group of workers for diabetes. What statement should the nurse interpret as being suggestive of diabetes?
"When I went to the restroom the last few days, my urine smelled odd."
"I've always been a fan of sweet foods, but lately I'm turned off by them."
"No matter how much sleep I get, it seems to take me hours to wake up."
"Lately, I drink a lot, but I can't seem to quench my thirst."
The Correct Answer is D
A. "When I went to the restroom the last few days, my urine smelled odd."
Changes in the smell of urine can be associated with various conditions, including diabetes. However, it's not a specific symptom.
B. "I've always been a fan of sweet foods, but lately I'm turned off by them."
A change in taste preferences may not be directly related to diabetes. It's not a typical symptom.
C. "No matter how much sleep I get, it seems to take me hours to wake up."
Fatigue and difficulty waking up are general symptoms that can be caused by various factors, including diabetes. However, it's not specific to diabetes alone.
D. "Lately, I drink a lot, but I can't seem to quench my thirst."
Excessive thirst (polydipsia) and increased urination (polyuria) are classic symptoms of diabetes, suggesting elevated blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Metabolic Acidosis
Metabolic acidosis is characterized by a low pH and low bicarbonate (HCO3) level. In this case, the pH is low (indicating acidosis), but the bicarbonate level is within the normal range, which is inconsistent with metabolic acidosis.
B. Respiratory Acidosis
This is correct. Respiratory acidosis is characterized by an elevated partial pressure of carbon dioxide (PaCO2), leading to a decrease in pH. The ABG values in this case indicate elevated PaCO2 and a low pH, consistent with respiratory acidosis.
C. Metabolic Alkalosis
Metabolic alkalosis is characterized by a high pH and high bicarbonate (HCO3) level. In this case, the pH is low (indicating acidosis), which is inconsistent with metabolic alkalosis.
D. Respiratory Alkalosis
Respiratory alkalosis is characterized by a low partial pressure of carbon dioxide (PaCO2) and a high pH. In this case, the PaCO2 is elevated, which is inconsistent with respiratory alkalosis.
Correct Answer is D
Explanation
A. The need to monitor urine for the presence of albumin:
Explanation: Monitoring urine for albumin is more associated with microvascular complications, particularly diabetic nephropathy. When the kidneys are affected, albumin may leak into the urine. This is not a macrovascular complication.
B. The relationship between kidney function and blood glucose levels:
Explanation: The relationship between kidney function and blood glucose levels is important, but it is more directly related to microvascular complications, particularly diabetic nephropathy. High blood glucose levels over time can damage the small blood vessels in the kidneys.
C. The need for frequent eye examinations for clients with diabetes:
Explanation: This is related to microvascular complications, specifically diabetic retinopathy. Changes in the small blood vessels of the retina can lead to vision problems. While important, it's not directly addressing macrovascular complications.
D. The fact that clients with diabetes have an elevated risk of myocardial infarction:
Explanation: This is the correct answer. Macrovascular complications involve large blood vessels and are associated with conditions such as coronary artery disease, which increases the risk of myocardial infarction in individuals with diabetes.
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