The nurse is reviewing the laboratory results for a client with diabetes mellitus, type 2 who has polyuria. Which of the following laboratory findings would be important to monitor?
Serum potassium
Serum magnesium
Serum calcium
Serum chloride
The Correct Answer is A
A. Polyuria, a common symptom in uncontrolled diabetes mellitus, can lead to excessive urinary loss of potassium, increasing the risk of hypokalemia. Monitoring serum potassium is crucial because imbalances can affect cardiac and muscle function.
B. While magnesium is important, it is not the primary concern in the context of polyuria related to diabetes unless specific symptoms or complications suggest a deficiency.
C. Calcium is not as directly affected by polyuria from diabetes as potassium is.
D. Chloride levels may fluctuate with fluid loss, but potassium remains the more critical electrolyte to monitor in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rubbing the injection site after insulin administration is not recommended, as it can increase the risk of bruising or irritation. Insulin should be injected into the subcutaneous tissue, and massaging or rubbing the site can cause the insulin to be absorbed too quickly, leading to unpredictable blood sugar levels.
B. Injecting the needle at a 90-degree angle is the correct technique for subcutaneous insulin injection, especially when using shorter needles. A 90-degree angle ensures the insulin is delivered into the subcutaneous tissue.
C. Grasping the skin helps to ensure that the insulin is injected into the subcutaneous layer and not into the muscle, which can affect absorption.
D. Rotating injection sites is important to prevent tissue damage or lipodystrophy (thickening or atrophy of the skin). Following a pattern helps ensure that insulin is injected into different areas for consistent absorption.
Correct Answer is C
Explanation
A. Alcohol withdrawal is a known risk factor for seizures. It can lead to withdrawal seizures, especially if the client has been drinking heavily and abruptly stops or reduces alcohol consumption.
B. A genetic predisposition can increase the risk of seizures. Certain genetic conditions, such as epilepsy, can increase the likelihood of experiencing seizures.
C. Tension headaches are not typically considered a risk factor for seizures. While headache disorders like migraines can sometimes be associated with seizures, tension headaches are generally not linked to an increased risk of seizure activity.
D. Prolonged hypoxemia (low oxygen levels) can lead to brain injury and is a well-established risk factor for seizures. When the brain does not receive enough oxygen, it can trigger seizure activity.
E. Older adults are at a higher risk for seizures, often due to conditions such as stroke, brain tumors, or age-related changes in the brain that can affect electrical activity.
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