An occupational health nurse is screening a group of workers for diabetes. What statement should the nurse interpret as being suggestive of diabetes?

"I've always been a fan of sweet foods, but lately I'm turned off by them."

"Lately, I drink and drink and can't seem to quench my thirst."

"No matter how much sleep I get, it seems to take me hours to wake up."

"When I went to the washroom the last few days, my urine smelled odd."

Answer and Explanation

The Correct Answer is B

A. A change in food preference is nonspecific and not a typical early symptom of diabetes.
B. Excessive thirst (polydipsia) is a classic symptom of diabetes, often caused by high blood glucose levels leading to osmotic diuresis and dehydration.
C. Fatigue can be related to many conditions and is not specific to diabetes.
D. Urine odor may vary for several reasons, but it is not a hallmark sign of diabetes.

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Correct Answer is D

Explanation

A. A BUN of 29 mg/dL is slightly elevated and may suggest dehydration, but it is not the most immediately critical finding.
B. A sodium level of 132 mEq/L is mildly hyponatremic but not acutely life-threatening in most cases.
C. A urine specific gravity of 1.025 is within the normal range (1.010–1.030) and not alarming on its own.
D. A serum potassium level of 3 mEq/L is hypokalemic and clinically significant, especially in a client with vomiting. Low potassium can lead to serious cardiac arrhythmias and muscle weakness, making it the most urgent value to address.

A. Management of fluid balance in the home setting B. The need for blood glucose monitoring for the next week C. Signs and symptoms of intra-abdominal complications D. Appropriate use of prescribed pancreatic enzymes

Correct Answer is C

Explanation

A. Fluid balance management is more critical in conditions like heart failure or renal disease, not routine post-cholecystectomy care.
B. Blood glucose monitoring is not routinely necessary after cholecystectomy unless the client has diabetes.
C. Educating the client about signs and symptoms of intra-abdominal complications such as infection, bile leak, or bleeding is essential to ensure early recognition and timely medical intervention.
D. Pancreatic enzymes are not usually prescribed after cholecystectomy unless the client has pancreatic insufficiency, which is uncommon.

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An occupational health nurse is screening a group of workers for diabetes. What statement should the nurse interpret as being suggestive of diabetes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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