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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Free Nursing Study Resources

Correct Answer is ["B","C","D","E"]

Explanation

"Temperature regulation," "Protection," "Sensory processing," and "Chemical synthesis." These are all functions of the skin that the nurse should expect students to identify during a group discussion about the skin's functions. Choice A, "Metabolism," is not a primary function of the skin, although the skin does play a role in the synthesis of vitamin D, which can impact metabolism.

A. Autonomic nervous system. B. Central nervous system. C. Sympathetic nervous system. D. Peripheral nervous system.

Correct Answer is A

Explanation

Autonomic dysreflexia is a medical emergency characterized by a sudden onset of excessively high blood pressure, sweating, and headache. It is caused by an overactivity of the autonomic nervous system in response to a noxious stimulus below the level of a spinal cord injury.

Choice B is incorrect because the central nervous system includes the brain and spinal cord, while autonomic dysreflexia is caused by a spinal cord injury.

Choice C is incorrect because the sympathetic nervous system is part of the autonomic nervous system and is involved in the response to autonomic dysreflexia.

Choice D is incorrect because the peripheral nervous system includes the nerves that extend from the brain and spinal cord to the rest of 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 nursing instructor is having a group discussion about the functions of the skin prior to reviewing common skin disorders. The instructor is pleased when the students answer (SATA).

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is caring for a client experiencing autonomic dysreflexia. Which of the following does the nurse recognize as the source of symptoms?

Correct Answer is A

Explanation

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