A nurse is assessing a client diagnosed with diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?
Tremors
Bradycardia
Vomiting
Fruity odour on the client’s breath
The Correct Answer is A
A. Tremors:
Tremors or shaking is a common symptom of hypoglycemia. When blood glucose levels drop too low, the body reacts by releasing hormones like adrenaline, leading to symptoms such as tremors, shakiness, and palpitations.
B. Bradycardia:
Bradycardia, or a slow heart rate, is not typically associated with hypoglycemia. Instead, hypoglycemia tends to stimulate the release of adrenaline, which can increase heart rate.
C. Vomiting:
Vomiting is not a classic manifestation of hypoglycemia. Nausea may occur, but vomiting is more commonly associated with conditions such as hyperglycemia or diabetic ketoacidosis.
D. Fruity odor on the client’s breath:
A fruity odor on the breath is more commonly associated with diabetic ketoacidosis (DKA) in individuals with diabetes mellitus, particularly when there is an accumulation of ketones in the body. It is not a typical manifestation of hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dyspepsia:
Dyspepsia refers to discomfort or pain in the upper abdomen, often described as indigestion. It is a common symptom of peptic ulcer disease but is not as urgent as the manifestation described in option C.
B. Epigastric discomfort:
Epigastric discomfort is a common symptom of peptic ulcer disease, but the priority is to identify more severe complications, such as bleeding.
C. Hematemesis:
This is the correct answer. Hematemesis refers to the vomiting of blood, which is a serious and potentially life-threatening complication of peptic ulcer disease. It indicates active bleeding in the upper gastrointestinal tract and requires prompt medical attention.
D. Epigastric pain:
Epigastric pain is similar to epigastric discomfort and is a common symptom of peptic ulcer disease. However, the priority in the given options is to identify the more severe complication of hematemesis.
Correct Answer is C
Explanation
A. Instruct the client that they can lift over 20 lbs:
Lifting heavy objects should be avoided postoperatively to prevent strain on the surgical site. The specific weight restriction may vary, but lifting heavy objects is generally discouraged.
B. Offer the client ice cream postoperatively:
While offering ice cream may be a comforting measure, it is not a specific action related to the recovery from a laparoscopic cholecystectomy.
C. Encourage ambulation once fully awake:
This is the correct action. Encouraging ambulation helps prevent complications such as blood clots and promotes recovery after laparoscopic surgery. Early mobility is generally encouraged unless contraindicated for specific reasons.
D. Place the client in a supine position postoperatively:
The position of the client postoperatively depends on the specific surgical procedure and the surgeon's preferences. However, placing the client in a supine position alone is not a comprehensive postoperative care action.
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