A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which intervention(s) should the nurse implement? Select all that apply.

Check the client's current fingerstick blood glucose.

Obtain blood pressure and heart rate.

Administer a PRN dose of regular insulin.

Give the client 4 ounces (120 mL) of orange juice.

Provide the client with 1/2 cup (120 mL) diet carbonated soda.

Answer and Explanation

Correct Answer : A,D

Choice A reason: Checking the client's current fingerstick blood glucose is important to determine if the confusion and weakness are due to hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar).

Choice B reason: Obtaining blood pressure and heart rate is useful for a general assessment but is secondary to assessing blood glucose levels in this scenario.

Choice C reason: Administering a PRN dose of regular insulin is not appropriate without first determining the client's blood glucose level. If the client is hypoglycemic, insulin could worsen the condition.

Choice D reason: Giving the client 4 ounces (120 mL) of orange juice is a quick way to raise blood sugar levels if the client is hypoglycemic.

Choice E reason: Providing diet carbonated soda is not effective for treating hypoglycemia because it does not contain sugar to raise blood glucose levels.

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Correct Answer is A

Explanation

Choice A reason: Starting with less sensitive questions helps build rapport and makes the client feel more comfortable before addressing more sensitive topics such as domestic violence.

Choice B reason: Getting the most difficult questions over with first can make the client feel uncomfortable and defensive, potentially hindering the interview process.

Choice C reason: Sharing personal values is not appropriate and can bias the interview, making the client less likely to open up.

Choice D reason: Asking vague, nonspecific questions does not help gather the necessary information effectively and may confuse the client.

A. Catheter tubing. B. The client's bed. C. Urinary meatus. D. Client's bladder.

Correct Answer is A

Explanation

Choice A reason: The catheter tubing is the most likely reservoir for the infection as it can harbor bacteria and introduce them into the urinary tract when not managed properly.

Choice B reason: The client's bed is an unlikely reservoir for the infection as it does not have direct contact with the urinary system.

Choice C reason: The urinary meatus is part of the normal flora but is not the primary reservoir for the infection in this scenario.

Choice D reason: The client's bladder is the site of the infection, not the reservoir that introduced the bacteria.

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A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which intervention(s) should the nurse implement? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents to the emergency department (ED) reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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