A 14-year-old girl presents to the school nurse with the fourth vaginal yeast infection she has had during the past 6 months. The nurse should assess the adolescent for which finding(s)? Select all that apply.
Thirst.
Increased appetite.
Heat intolerance.
Tachycardia.
Urinary frequency.
Correct Answer : A,D,E
A. Thirst: Recurrent yeast infections in adolescents may indicate underlying hyperglycemia, as excessive glucose in the urine promotes fungal growth. Thirst is a classic symptom of diabetes mellitus and should be assessed.
B. Increased appetite: While diabetes can sometimes cause polyphagia, it is less specific than other signs such as thirst, urinary frequency, and tachycardia. It may not be present in every case and is not a primary screening indicator.
C. Heat intolerance: Heat intolerance is more commonly associated with hyperthyroidism, not recurrent yeast infections. Assessing for this symptom is not directly relevant to evaluating potential diabetes in this adolescent.
D. Tachycardia: Elevated heart rate can occur with dehydration caused by hyperglycemia and osmotic diuresis. Tachycardia may be an important clinical clue in assessing for undiagnosed diabetes.
E. Urinary frequency: Polyuria is a hallmark symptom of hyperglycemia and diabetes mellitus. Recurrent yeast infections may prompt assessment for urinary frequency as part of the screening for possible diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","F"]
Explanation
A. St. John's wort: This herbal supplement is not used to manage opioid side effects and may interact with other medications, including opioids, making it inappropriate for this purpose.
B. Sildenafil: Sildenafil is used to treat erectile dysfunction and has no role in managing morphine side effects. It is unrelated to pain management or opioid-related adverse effects.
C. Ondansetron: Ondansetron is an antiemetic commonly prescribed to prevent or treat nausea and vomiting, which are frequent side effects of morphine administration.
D. Naloxone: Naloxone is an opioid antagonist used to reverse severe opioid-induced respiratory depression. It is essential for emergency management of potentially life-threatening side effects of morphine.
E. Meperidine: Meperidine is an opioid analgesic and is not used to treat side effects of morphine. Using another opioid would not address morphine-induced complications and may increase risk of adverse effects.
F. Docusate sodium: Opioid-induced constipation is common with morphine. Docusate sodium is a stool softener used prophylactically to prevent or treat constipation associated with opioid therapy.
Correct Answer is ["200"]
Explanation
Total volume = 100 mL.
Infusion time = 30 minutes
Infusion time = 30 minutes / 60 minutes/hour
= 0.5 hours.
- Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)
= 100 mL / 0.5 hr
= 200 mL/hr.
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