The nurse suspects the client diagnosed with diabetes may be having a hypoglycemic reaction when what symptom is assessed?
unpredictable behaviors
diaphoresis
flushing of the face
fruity breath
The Correct Answer is B
A. unpredictable behaviors: While altered behavior or confusion can occur with hypoglycemia, these are often later symptoms. Diaphoresis is typically one of the earliest and most noticeable signs, helping prompt faster recognition and intervention.
B. diaphoresis: Diaphoresis, or excessive sweating, is a classic sympathetic nervous system response to hypoglycemia. It is an early warning sign that glucose levels are dropping and immediate treatment is needed to prevent further deterioration.
C. flushing of the face: Flushed skin is more commonly associated with hyperglycemia or hormonal responses rather than hypoglycemia. It does not serve as a reliable indicator of low blood glucose levels in diabetic clients.
D. fruity breath: Fruity or acetone-like breath is a hallmark sign of diabetic ketoacidosis, which occurs in hyperglycemia, not hypoglycemia. It results from the breakdown of fat and ketone accumulation in the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. sucralfate: Sucralfate is a gastrointestinal protectant used to treat and prevent ulcers by forming a barrier over damaged mucosa. It does not affect the vomiting center or chemoreceptor trigger zone and has no antiemetic properties.
B. bisacodyl: Bisacodyl is a stimulant laxative used to treat constipation by increasing peristalsis and fluid accumulation in the colon. It is not used for nausea or vomiting and has no action on the central nervous system.
C. omeprazole: Omeprazole is a proton pump inhibitor that decreases gastric acid secretion. It is used to manage GERD and peptic ulcers but has no antiemetic effects or influence on the chemoreceptor trigger zone.
D. prochlorperazine: Prochlorperazine is a phenothiazine antiemetic that works by blocking dopamine receptors in the chemoreceptor trigger zone. It is frequently used to manage nausea, vomiting, and vertigo.
Correct Answer is ["10"]
Explanation
Scheduled dose of Humulin R = 4 units.
Current Blood glucose = 196.
- Determine the dose from the Medium Dose Sliding Scale based on the blood glucose level.
0-140: 0 units
141-190: 4 units
191-240: 6 units (The client's blood glucose of 196 falls into this range.)
Sliding scale dose = 6 units.
- Calculate the total units of insulin to administer.
Total units = Scheduled dose + Sliding scale dose
= 4 units + 6 units
= 10 units.
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