Patient Data
After the obstetrician leaves, the client appears confused and asks the nurse, "How will I know if I have high blood sugar?"
Which are the nurse's best responses? Select all that apply.
"Hyperglycemia often results in weight loss."
"Hyperglycemia causes cool and clammy skin."
"Hyperglycemia causes an increased sensation of being hungry."
"Hyperglycemia causes a headache and flushed, dry skin."
"Hyperglycemia often presents as increased thirst and urination."
Correct Answer : D,E
A. "Hyperglycemia often results in weight loss.": Weight loss is more commonly associated with prolonged hyperglycemia, particularly in uncontrolled diabetes where the body starts breaking down fat and muscle for energy.
B. "Hyperglycemia causes cool and clammy skin.": Cool and clammy skin is more indicative of hypoglycemia (low blood sugar) rather than hyperglycemia.
C. "Hyperglycemia causes an increased sensation of being hungry.": Increased hunger is often associated with hypoglycemia or uncontrolled diabetes, where insulin is not effectively managing blood glucose levels.
D. "Hyperglycemia causes a headache and flushed, dry skin.": In cases of significant hyperglycemia, symptoms can include headache and flushed, dry skin due to dehydration. These symptoms arise from the body’s attempt to balance blood sugar levels and manage dehydration.
E. "Hyperglycemia often presents as increased thirst and urination.": Hyperglycemia typically leads to increased thirst (polydipsia) and increased urination (polyuria). This occurs because the body tries to get rid of excess glucose through the urine, leading to dehydration and increased thirst.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Quality of life: This involves evaluating how the client's overall well-being has changed with the new interventions. It includes assessing the client's comfort, satisfaction, and ability to engage in meaningful activities.
Functional improvement: This includes monitoring the client's progress in physical and occupational therapy, as well as their ability to perform activities of daily living (ADLs) independently or with less assistance.
Correct Answer is D
Explanation
A. An older adult scheduled for foot amputation due to diabetes complications may have complex care needs requiring the expertise of an RN.
B. An adult with alcoholism, cirrhosis, and hepatic encephalopathy can present with unstable and complex health issues that require close monitoring by an RN.
C. An older client who is one day postoperative with a colostomy for colon cancer may require specialized care and education best provided by an RN.
D. An adult who is one day postoperative for a laparoscopic cholecystectomy is likely to have more predictable and routine care needs, making this client a suitable assignment for a PN under the supervision of an RN.
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