The nurse is caring for a client with type 2 diabetes mellitus who reports frequent episodes of hypoglycemia. Which action should the nurse prioritize?

Increase carbohydrate intake at meals

Review the client’s medication regimen

Monitor blood glucose every hour

Encourage high-protein snacks

Answer and Explanation

The Correct Answer is B

Choice A reason: Increasing carbohydrate intake may prevent hypoglycemia but does not address the root cause, such as excessive insulin or oral hypoglycemic agents. Reviewing medications identifies dosing issues, ensuring safer management of type 2 diabetes, making it the priority over dietary changes.

Choice B reason: Reviewing the medication regimen is critical, as hypoglycemia in type 2 diabetes often results from excessive insulin or sulfonylureas. Adjusting doses or timing with a provider prevents recurrent episodes, addressing the primary cause and ensuring safe glycemic control, making it the priority action.

Choice C reason: Monitoring blood glucose hourly is reactive and impractical long-term. It confirms hypoglycemia but does not prevent it. Reviewing medications addresses the cause, such as inappropriate dosing, making it more effective for managing recurrent hypoglycemia in type 2 diabetes.

Choice D reason: High-protein snacks stabilize blood glucose but are secondary to addressing medication-related hypoglycemia. Excessive insulin or oral agents are likely causes, so reviewing the regimen is prioritized to correct dosing, preventing recurrent episodes more effectively than dietary adjustments alone.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Hyperthyroidism increases metabolic rate, causing tachycardia and potential arrhythmias due to elevated thyroid hormone levels stimulating cardiac beta-receptors. Monitoring heart rate and rhythm is critical to detect cardiovascular complications, guiding urgent treatment to prevent heart failure or atrial fibrillation.

Choice B reason: High-calorie snacks address weight loss in hyperthyroidism but are secondary to cardiovascular risks. Tachycardia and arrhythmias pose immediate threats, making heart rate monitoring the priority, as uncontrolled hyperthyroidism can lead to life-threatening cardiac events before nutritional needs are addressed.

Choice C reason: Supplemental oxygen is not routinely needed in hyperthyroidism unless respiratory distress occurs, which is rare. Elevated heart rate and arrhythmias are more immediate concerns, as hyperthyroidism’s cardiac effects are primary, making heart monitoring critical to prevent acute cardiovascular complications.

Choice D reason: Restricting fluid intake is inappropriate, as hyperthyroidism increases metabolism, risking dehydration. Heart rate monitoring is prioritized, as tachycardia and arrhythmias are direct, life-threatening effects of excess thyroid hormone, requiring immediate assessment to guide antithyroid therapy and prevent cardiac crises.

A. Solar radiation B. Geothermal heat C. Tidal forces D. Human activities

Correct Answer is A

Explanation

Choice A reason: Solar radiation delivers approximately 99.97% of Earth's climate system energy. The sun emits electromagnetic waves, primarily in visible and infrared spectra, absorbed by Earth's surface and atmosphere. This energy fuels atmospheric circulation, ocean currents, and the hydrological cycle, establishing temperature gradients that drive global weather and climate patterns. Sunspot cycles cause minor variations but affirm solar dominance.

Choice B reason: Geothermal heat, from radioactive decay in Earth's core and mantle plus residual formation heat, contributes only about 0.025% to the climate energy budget. It powers volcanic activity and tectonic processes, with localized effects like geothermal springs, but its role in atmospheric or oceanic circulation is negligible compared to solar radiation’s extensive influence.

Choice C reason: Tidal forces, driven by gravitational interactions between Earth, the moon, and the sun, produce oceanic tides, contributing less than 0.001% to the climate system’s energy. Tides influence coastal mixing but lack the magnitude to drive atmospheric circulation or global climate, making them insignificant compared to solar radiation’s vast energy input.

Choice D reason: Human activities, such as fossil fuel burning and deforestation, release greenhouse gases, altering climate by trapping solar heat. These are secondary effects, not primary energy sources, with negligible direct energy contribution. They modify solar radiation absorption, acting as feedback mechanisms, not independent drivers like the sun’s direct energy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client with type 2 diabetes mellitus who reports frequent episodes of hypoglycemia. Which action should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a new diagnosis of hyperthyroidism. Which intervention should the nurse prioritize?

Correct Answer is A

Explanation

Which of the following best describes the primary source of energy for Earth's climate system?

Correct Answer is A

Explanation

The nurse is assessing a client with suspected hepatitis. Which finding is most indicative of this condition?

The nurse is securing a tracheostomy tube for a client post-procedure. Which action should the nurse take to ensure proper tracheostomy care?

The nurse is caring for a client with type 2 diabetes mellitus who reports frequent episodes of hypoglycemia. Which action should the nurse prioritize?

The nurse is caring for a client with chronic obstructive pulmonary disease who develops an onset of dyspnea and tachypnea with coughing. After positioning the client upright, which action should the nurse take next?

The nurse is caring for a client who fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is provided with a history of vomiting twice. Which intervention should the nurse implement first?

The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which side effect should the nurse monitor for?

The nurse is caring for a client with a history of multiple sclerosis. Which intervention should the nurse prioritize?

A client with a history of peptic ulcer disease reports epigastric pain. Which action should the nurse take first?