While hospitalized and recovering from an episode of diabetic ketoacidosis, the client calls the nurse and reports feeling anxious, nervous, and sweaty. What is the nurse's priority action based on the client's report?

Have the client drink 8 ounces of Coca-Cola.

Administer 1 mg of glucagon subcutaneously.

Administer a glucose tablet.

Obtain a glucose reading using a finger stick

Answer and Explanation

The Correct Answer is D

A. While Coca-Cola contains sugar and could raise blood glucose, it should not be given without first confirming hypoglycemia through a blood glucose reading.
B. Glucagon is typically reserved for severe hypoglycemia when the client is unconscious or unable to swallow. This client is conscious and able to communicate symptoms.
C. Administering glucose tablets is appropriate after confirming hypoglycemia, not before.
D. The client’s symptoms—anxiety, nervousness, and sweating—are classic signs of hypoglycemia. The nurse’s priority is to obtain a glucose reading via finger stick to assess the client’s current glucose level before initiating treatment.

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Correct Answer is A

Explanation

A. Increasing dyspnea occurs due to collapsed alveoli reducing lung capacity and oxygenation.
B. Facial flushing is not typically related to atelectasis.
C. Friction rub is usually heard in pleuritis, not atelectasis.
D. Respiratory rate generally increases in response to hypoxia, so a decrease is unlikely.

A. "I need to avoid lifting objects exceeding 5 lb after surgery, usually for 6 weeks! B. "I will call the surgeon if I have a fever of 37.7 °C (100°F) or more for two consecutive days." C. "I can drive myself home." D. "I need someone to stay with me at home for a week after the surgery."

Correct Answer is B

Explanation

A. The typical lifting restriction after laparoscopic cholecystectomy is less than 10 pounds, and usually for about 1 week, not 6 weeks.
B. A fever of 100°F (37.7°C) or higher for two days may indicate infection and requires medical evaluation.
C. Clients are generally advised not to drive immediately after surgery, especially if they are taking pain medications.
D. While some assistance may be needed initially, a full week of supervision is usually not required after laparoscopic cholecystectomy.

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While hospitalized and recovering from an episode of diabetic ketoacidosis, the client calls the nurse and reports feeling anxious, nervous, and sweaty. What is the nurse's priority action based on the client's report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has developed atelectasis postoperatively. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

The nurse is teaching a client recovering from a laparoscopic cholecystectomy and is being discharged. Which statement indicates that discharge teaching is effective?

Correct Answer is B

Explanation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Which action most effectively prevents pneumonia and promotes healthy pulmonary function after surgery?

Which insulin has an onset of action in 30 minutes to 1 hour, a peak action in 2 to 3 hours, and a duration of action from 4 to 6 hours?

A nurse is caring for a client who is two hours postoperative after a laparoscopic cholecystectomy. The client is complaining of pain in the right shoulder. Which nursing intervention should the nurse implement?

A client is demonstrating confusion, hallucinations, and a positive Chvostek sign. Which medication(s) should the nurse anticipate administering to this client?

When providing discharge education to a client who had a laparoscopic cholecystectomy, the nurse should instruct the client to notify the provider immediately if which of the following conditions develop?

The nurse is caring for a client with a large venous ulcer on the leg. What intervention should the nurse implement to promote healing and prevent infection?

A nurse is assessing a female client who is at risk for developing type 2 diabetes mellitus. The nurse should identify which of the following manifestations increases the client's risk for developing type 2 diabetes.