The practical nurse (PN) is obtaining the admission history from the parents of a school-aged client recently diagnosed with type 1 diabetes mellitus (DM). Which symptom will the parents most likely report?
Drinks more liquids than previously.
Gained 10 pounds within one month.
Voids only one or two times per day.
Refuses to eat favorite meals at home.
The Correct Answer is A
A. Drinks more liquids than previously: Polydipsia is a classic symptom due to osmotic diuresis from hyperglycemia.
B. Gained 10 pounds within one month: Unlikely; children with type 1 DM often lose weight before diagnosis.
C. Voids only one or two times per day: Inaccurate; polyuria is common.
D. Refuses to eat favorite meals at home: Not a hallmark sign of type 1 DM.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Community resources to provide financial aid: This is important for long-term support but does not address the urgent need to assess for suicidal intent in a client expressing hopelessness and self-neglect.
B. Availability of family members to provide meals: Relevant for nutritional support planning, but not the priority when the client has expressed feelings of worthlessness.
C. Medication history for antipsychotic agents: Could identify causes of decreased appetite or mood, but it is not the first priority.
D. Client thoughts about wanting to hurt himself: Expressions of not deserving to eat and hopelessness may indicate suicidal ideation; assessing for self-harm risk takes priority for client safety.
Correct Answer is B
Explanation
A. Red streaks from wound: Could indicate lymphangitis but not immediately life-threatening.
B. Urine output 20 mL/hour: Indicates possible septic shock with decreased renal perfusion - urgent finding.
C. Purulent wound drainage: Suggests infection but expected in an infected bite; not immediately life-threatening.
D. Blood pressure 100/60 mm Hg: Low-normal BP; not yet critical unless accompanied by other shock signs.
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