On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. What is the immediate action taken by the nurse?

Obtain a glucometer reading.

Administer fruit juice.

Start an IV of dextrose.

Call the physician.

Answer and Explanation

The Correct Answer is A

choice A, Obtain a glucometer reading. The immediate action taken by the nurse is to obtain a glucometer reading to determine the client's blood glucose level. The client's symptoms are suggestive of hypoglycemia, a condition that can lead to coma and seizures if left untreated. Administering fruit juice or starting an IV of dextrose without first checking the client's blood glucose level can worsen the condition if the client's blood glucose is high. The physician should be notified if the client's blood glucose level is critically low or high and if the client's condition does not improve after treatment.
B.   Administering fruit juice can worsen the condition if the client's blood glucose is high.
C.   Starting an IV of dextrose can worsen the condition if the client's blood glucose is high.
D.   Calling the physician is not the immediate action, as the client needs urgent treatment.

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Correct Answer is A

Explanation

The client takes furosemide with the evening medications. Nocturia, or the need to wake up at night to urinate, can be caused by various factors. In this case, the client's medication, furosemide, is a diuretic that can increase urine output and cause nocturia. The other choices do not explain the cause of the client's nocturia.

A. Gonorrhea. B. Chlamydia. C. Syphilis. D. Herpes infection.

Correct Answer is D

Explanation

Herpes remains dormant in the body and can recur at any time, which is important information for the nurse to understand when discussing sexually transmitted infections with clients.

Gonorrhea, chlamydia, and syphilis can be treated with antibiotics, so they do not remain dormant in the body.

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On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. What is the immediate action taken by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem?

Correct Answer is A

Explanation

Which type of sexually transmitted infection is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can recur at any time?

Correct Answer is D

Explanation

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