A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test.

Which of the following findings should indicate to the nurse that the client has hyperglycemia?

Thirst.

Confusion.

Shakiness.

Cool skin.

Answer and Explanation

The Correct Answer is A

Thirst is a common symptom of hyperglycemia, or high blood sugar, in clients with diabetes mellitus.
Choice B is wrong because confusion can be a symptom of both hyperglycemia and hypoglycemia (low blood sugar).
Choice C is wrong because shakiness is more commonly associated with hypoglycemia.
Choice D is wrong because cool skin is not a common symptom of hyperglycemia.

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Free Nursing Study Resources

Correct Answer is ["C","D","E"]

Explanation

An oral airway can help maintain an open airway during a seizure.

Supplemental oxygen supplies can be used to provide oxygen if the client’s breathing is compromised.

Oral suction equipment can be used to clear secretions from the client’s mouth and prevent aspiration.

Limb restraints: Restraints should not be used during a seizure as they can cause injury.

Blood glucose monitor: While it is important to monitor blood glucose levels in clients with seizures, it is not a priority during a seizure.

A. "I will wear an N95 respirator mask when caring for the client.". B. "I will place the client in a private room.". C. "I will remove my gown before my gloves after providing client care.". D. "I will tell the client's visitors to wear a mask when they are within 3 feet of the client.".

Correct Answer is B

Explanation

A client with MRSA infection should be placed in a private room to prevent the spread of infection.

Choice A is wrong because an N95 respirator mask is not necessary when caring for a client with an MRSA infection.
Choice C is wrong because the proper sequence for removing personal protective equipment is to remove gloves first, then the gown.
Choice D is wrong because visitors do not need to wear a mask when they are within 3 feet of the client with an MRSA infection.

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A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?

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Explanation

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A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test.

Which of the following findings should indicate to the nurse that the client has hyperglycemia?