You are an RN in a busy Emergency Department. A patient comes in with Type 2 Diabetes Mellitus. Which of the following signs and symptoms would you NOT expect the patient to report experiencing?

Polydipsia

Polyphagia

Polyuria

Anorexia

Answer and Explanation

The Correct Answer is D

A.   Polydipsia, or excessive thirst, is a common symptom of diabetes, including Type 2 Diabetes Mellitus. It occurs because high blood glucose levels lead to increased urine output (polyuria), which causes dehydration and prompts excessive thirst.
B.   Polyphagia, or excessive hunger, is another common symptom of T2DM. In Type 2 Diabetes, despite having high blood glucose levels, the cells are unable to effectively use glucose due to insulin resistance, leading to persistent hunger.
C.   Polyuria, or excessive urination, is common in T2DM. High blood glucose levels lead to glucose spilling into the urine, which increases urine volume and frequency.
D.   Anorexia, or loss of appetite, is not a typical symptom of Type 2 Diabetes Mellitus. In fact, T2DM usually presents with increased appetite (polyphagia) rather than decreased appetite.

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Correct Answer is C

Explanation

A. Pink skin is characteristic of emphysema. Unlike chronic bronchitis, patients with emphysema often maintain adequate oxygen levels until the disease is very advanced.
B. Barrel chest is a classic sign of emphysema due to air trapping in the lungs, causing the chest to become hyperinflated.
C. Cyanotic skin tone is more common in chronic bronchitis due to chronic hypoxia.
D. Pursed-lip breathing is a common technique used by patients with emphysema to help them exhale more completely.

A. Rescue inhaler B. Diazepam C. Ipratropium D. Hydromorphone E. Oxygen via nasal cannula 2 L/min

Correct Answer is ["B","D"]

Explanation

A. Rescue inhaler is appropriate for a COPD exacerbation as it helps to dilate the airways and improve breathing.
B. Diazepam is a benzodiazepine, which is a sedative. Sedating a patient with severe respiratory distress is contraindicated as it can further depress respiratory drive.
C. Ipratropium is a bronchodilator and is appropriate for COPD exacerbations.
D. Hydromorphone is an opioid analgesic. Opioids can depress respiratory drive, which is especially dangerous for patients with respiratory compromise such as COPD.
E. Oxygen is essential for patients with COPD exacerbations.

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You are an RN in a busy Emergency Department. A patient comes in with Type 2 Diabetes Mellitus. Which of the following signs and symptoms would you NOT expect the patient to report experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patients with Emphysema can sometimes display some characteristic signs and symptoms. Which of the following is NOT commonly one of these characteristic signs?

Correct Answer is C

Explanation

An 82-year-old client with COPD presents with restlessness, dyspnea, pursed lips, and tripod position complaining of "not being able to breathe". The nurse should question which of the following orders?

Correct Answer is ["B","D"]

Explanation

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