Patient Data

Exhibits

Based on the laboratory data, the client has
dropdown
related to
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Option 1-prediabetes

Option 2- impaired glucose tolerance

Rationale

Prediabetes is a condition characterized by higher than normal blood sugar levels, but not high enough to be classified as type 2 diabetes. It's considered a warning sign that indicates an increased risk of developing type 2 diabetes, heart disease, and stroke if left unmanaged.

Prediabetes is diagnosed if FPG levels are between 100-125 mg/dL, OGTT levels are between 140-199 mg/dL, or HbA1c levels are between 5.7-6.4%.

It occurs due to impaired glucose tolerance in insulin resistance. In individuals with insulin resistance, cells, particularly muscle, liver, and fat cells, become less sensitive to insulin's actions. As a result, glucose uptake by cells is impaired, leading to higher blood sugar levels. Hypoglycemia refers to a condition characterized by abnormally low blood sugar levels, typically below 70 mg/dL (3.9 mmol/L). It occurs when there is an imbalance between the amount of glucose in the bloodstream and the body's requirements for energy.

Gestational diabetes mellitus (GDM) is a type of diabetes that develops during pregnancy. It is characterized by high blood sugar levels that occur for the first time during pregnancy and typically resolves after childbirth.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

D. Vital sign measurements, including blood pressure, heart rate, respiratory rate, and temperature, are essential for assessing the client's hemodynamic stability and overall condition. A rigid abdomen with rebound tenderness suggests a potential surgical emergency, such as bowel perforation, which could lead to sepsis and hemodynamic instability. Therefore, obtaining vital sign measurements promptly will help determine the severity of the client's condition and guide further interventions.
A. Encouraging ambulation would not be appropriate in this situation because it could exacerbate the client's discomfort and potentially worsen any abdominal pain or tenderness. Ambulation is not the priority when a client presents with signs of a possible bowel perforation.
B. Measure capillary glucose level: While monitoring blood glucose levels is important, especially in clients receiving corticosteroid treatment, it is not the priority when the client is presenting with symptoms suggestive of a serious complication such as bowel perforation. Immediate assessment and intervention to address the abdominal rigidity and rebound tenderness are needed before other assessments can be performed.
C. While bloody stools are a common symptom of IBD exacerbation, the presence of a rigid abdomen with rebound tenderness suggests a more urgent issue, such as bowel perforation, that requires immediate attention. Monitoring for bloody stools should occur concurrently with assessing and managing the client's acute abdominal symptoms.

A. Implement distraction techniques. B. Assess right radial pulse volume. C. Administer a PRN analgesic. D. Measure the blood pressure.

Correct Answer is B

Explanation

B. An increase in pain after cast placement could indicate complications such as compartment syndrome, which is a serious condition that occurs when increased pressure within a confined space (such as the area within the cast) compromises circulation and tissue perfusion. Assessing the radial pulse volume on the affected arm is crucial to evaluate perfusion distal to the fracture site.
A. Distraction technique may help manage the client's pain but does not address the underlying cause of the pain increase, which could be related to compromised circulation.
C. Analgesics relieve pain but do not address the immediate limb threatening issue at hand.
D. Measuring blood pressure is not directly related to assessing circulation distal to the fracture site.

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Patient Data Exhibits Based on the laboratory data, the client has dropdown related to dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound lendemess. Which action should the nurse take?

Correct Answer is D

Explanation

A client with a right ulnar fracture and cast placement reports an increase in arm pain. Which action should the nurse take next?

Correct Answer is B

Explanation

Patient Data Exhibits What finding(s) are cues for a respiratory problem? Select all that apply.

While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting this finding to the healthcare provider, the nurse should evaluate which laboratory value?

A client with draining skin lesions of the lower extremity is admitted with possible methicillin resistant Staphylococcus aureus (MRSA). What nursing intervention (s) should the nurse include in the plan of care? Select all that apply.

A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

A client has an absolute neutrophil count (ANC) of 500/mm3 (0.5 x 10/L) after completing chemotherapy. Which intervention is most important for the nurse to implement? Reference Range: Neutrophils (ANC) [2.500 to 5,800/mm (2.5 to 5.8 x 10/L)]

Patient Data Exhibits Review H and P, nurse's note, and laboratory results. What other nutritional recommendation(s) would be helpful for this client in reducing risk for type 2 diabetes mellitus? Select all that apply.

After initiating a steroid nebulizer treatment for a client with asthma in respiratory distress, which intervention is most important for the nurse to implement?

Patient Data

Exhibits

Based on the laboratory data, the client has
dropdown
related to
dropdown